Organization Active NPI

Chad Smart DDS and Vincent O Kokich Jr DMD MSD PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Tacoma, WA
National Provider Identifier
1134597446
Registry record updated Sep 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DE00009092 Issued in WA
Legal business name
CHAD SMART DDS AND VINCENT O KOKICH JR DMD MSD PLLC
Practice address
2302 S Union Ave
Ste B-14
Tacoma, WA 98405-1300
Phone
(253) 752-3949
Fax
(253) 752-6392
NPI assigned
Sep 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Chad Smart, DDSNPI 1003035668
Title
Owner
Phone
(253) 752-3949

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X DE00009092 WA Primary

Addresses

Primary practice location

2302 S Union Ave
Ste B-14
Tacoma, WA 98405-1300

Mailing address

2302 S Union Ave
Ste B-14
Tacoma, WA 98405-1300
Phone (253) 752-3949

Other names 1

  • Smart, Kokich and Quinn Doing business as

National Provider Directory

National Provider Directory

Locations

2302 S Union Ave
Ste B14
Tacoma, WA 98405
Phone (253) 752-3949

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1441238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441238400000",
    "number": "1134597446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2302 S UNION AVE",
            "address_2": "STE B-14",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051300",
            "telephone_number": "253-752-3949",
            "fax_number": "253-752-6392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2302 S UNION AVE",
            "address_2": "STE B-14",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051300",
            "telephone_number": "253-752-3949",
            "fax_number": "253-752-6392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAD SMART DDS AND VINCENT O KOKICH JR DMD MSD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-03",
        "last_updated": "2015-09-03",
        "status": "A",
        "authorized_official_last_name": "SMART",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-752-3949",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WA",
            "license": "DE00009092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smart, Kokich and Quinn",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.