Active NPI
Jason Nicholas Toothman, MA
- Specialist
- Shelton, WA
National Provider Identifier
1184016370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MA60422625
- Practice address
- 221 W Railroad Ave
Suite L
Shelton, WA 98584-3507 - Phone
- (253) 389-7656
- NPI assigned
- Feb 24, 2015
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | MA60422625 | WA | Primary |
Addresses
Primary practice location
221 W Railroad Ave
Suite L
Shelton, WA 98584-3507
Mailing address
918 Ellinor Ave
Suite L
Shelton, WA 98584-3219
Phone (253) 389-7656
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA60422625 | WA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461628800000",
"number": "1184016370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "918 ELLINOR AVE",
"address_2": "SUITE L",
"city": "SHELTON",
"state": "WA",
"postal_code": "985843219",
"telephone_number": "253-389-7656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 W RAILROAD AVE",
"address_2": "SUITE L",
"city": "SHELTON",
"state": "WA",
"postal_code": "985843507",
"telephone_number": "253-389-7656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOOTHMAN",
"first_name": "JASON",
"middle_name": "NICHOLAS",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-02-24",
"last_updated": "2016-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "MA60422625",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shelton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.