Active NPI
Timothee Souquet, DDS
- Dentist
- Tacoma, WA
National Provider Identifier
1154749117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DE60577336
- Practice address
- 3402 S 18TH St
Tacoma, WA 98405 - Phone
- (253) 471-2655
- NPI assigned
- Apr 6, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DE60577336 | WA | Primary |
Addresses
Primary practice location
3402 S 18TH St
Tacoma, WA 98405
Mailing address
1929 4TH St
Kirkland, WA 98033
Phone (206) 795-3615
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE60577336 | WA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438732800000",
"number": "1154749117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1929 4TH ST",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "98033",
"telephone_number": "206-795-3615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3402 S 18TH ST",
"city": "TACOMA",
"state": "WA",
"postal_code": "98405",
"telephone_number": "253-471-2655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOUQUET",
"first_name": "TIMOTHEE",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-06",
"last_updated": "2015-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "DE60577336",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Aug 5, 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.