NPIMap

Organization Active NPI

Patra Alatsis DMD Ms PS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Gig Harbor, WA
National Provider Identifier
1205201415
Registry record updated Dec 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DE 60523093 Issued in WA
Legal business name
PATRA ALATSIS DMD MS PS
Practice address
5334 Olympic Dr NW Ste 201
Gig Harbor, WA 98335-1722
Phone
(253) 851-9473
Fax
(253) 851-4062
NPI assigned
Dec 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2015

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

Authorized official

Name
Patra V Alatsis, DMD, MSNPI 1700227345
Title
President
Phone
(253) 851-9473

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 DE 60523093 WA Primary

Addresses

Primary practice location

5334 Olympic Dr NW Ste 201
Gig Harbor, WA 98335-1722

Mailing address

5334 Olympic Dr NW Ste 201
Gig Harbor, WA 98335-1722
Phone (253) 851-9473

National Provider Directory

National Provider Directory
Tax ID family
Patra Alatsis DMD Ms PS2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5334 Olympic Dr
Ste 201
Gig Harbor, WA 98335
Phone (253) 851-9473

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": "1450051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450051200000",
    "number": "1205201415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5334 OLYMPIC DR NW STE 201",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351722",
            "telephone_number": "253-851-9473",
            "fax_number": "253-851-4062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5334 OLYMPIC DR NW STE 201",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351722",
            "telephone_number": "253-851-9473",
            "fax_number": "253-851-4062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRA ALATSIS DMD MS PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-14",
        "last_updated": "2015-12-14",
        "status": "A",
        "authorized_official_last_name": "ALATSIS",
        "authorized_official_first_name": "PATRA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "253-851-9473",
        "authorized_official_credential": "DMD, MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WA",
            "license": "DE 60523093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gig Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.