Active NPI
Erika K. Ridgeway, DDS
- Dentist
- Tacoma, WA
National Provider Identifier
1235687500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 60680586
- Practice address
- 1148 72ND St E Unit B
Tacoma, WA 98404-1806 - Phone
- (253) 537-5437
- Fax
- (253) 537-5438
- NPI assigned
- Sep 15, 2016
- Reactivated
- Jun 2, 2017
- Sex
- Female
- 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 | 60680586 | WA | Primary |
Addresses
Primary practice location
1148 72ND St E Unit B
Tacoma, WA 98404-1806
Mailing address
1148 72ND St. E
Suite B
Tacoma, WA 98404
Phone (253) 537-5437
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 |
|---|---|---|---|
| 60680586 | WA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1235687500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1148 72ND ST. E",
"address_2": "SUITE B",
"city": "TACOMA",
"state": "WA",
"postal_code": "98404",
"telephone_number": "253-537-5437",
"fax_number": "253-537-5438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1148 72ND ST E UNIT B",
"city": "TACOMA",
"state": "WA",
"postal_code": "984041806",
"telephone_number": "253-537-5437",
"fax_number": "253-537-5438"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIDGEWAY",
"first_name": "ERIKA",
"middle_name": "K.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-15",
"last_updated": "2022-07-21",
"deactivation_date": "2017-04-25",
"reactivation_date": "2017-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "60680586",
"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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.