NPIMap

Organization Active NPI

Fircrest Children's Dentistry

  • Dental Clinic/Center
  • Fircrest, WA
National Provider Identifier
1245650365
Registry record updated Apr 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DE60140820 Issued in WA
Legal business name
FIRCREST CHILDREN'S DENTISTRY
Practice address
1501 Regents Blvd Ste 200
Fircrest, WA 98466-6098
Phone
(253) 564-2222
NPI assigned
Apr 16, 2014
Last updated
Apr 17, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2014

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

Authorized official

Name
Dr. Stephen D Beck, DMD, MSNPI 1033368006
Title
Pediatric Dentist
Phone
(253) 564-2222

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
Dental Clinic/Center 261QD0000X DE60140820 WA Primary

Addresses

Primary practice location

1501 Regents Blvd Ste 200
Fircrest, WA 98466-6098

Mailing address

1501 Regents Blvd Ste 200
Fircrest, WA 98466-6098
Phone (253) 564-2222

Other identifiers 2

IdentifierTypeStateIssuer
12-23-P0221OtherWATAXONOMY, PEDIATRIC DENTISTRY
1033368006MedicaidWA

National Provider Directory

National Provider Directory

Locations

1501 Regents Blvd
Ste 200
Fircrest, WA 98466
Phone (253) 564-2222

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1397606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397692800000",
    "number": "1245650365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 REGENTS BLVD STE 200",
            "city": "FIRCREST",
            "state": "WA",
            "postal_code": "984666098",
            "telephone_number": "253-564-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 REGENTS BLVD STE 200",
            "city": "FIRCREST",
            "state": "WA",
            "postal_code": "984666098",
            "telephone_number": "253-564-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRCREST CHILDREN'S DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-16",
        "last_updated": "2014-04-17",
        "status": "A",
        "authorized_official_last_name": "BECK",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "253-564-2222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "DE60140820",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY, PEDIATRIC DENTISTRY",
            "identifier": "12-23-P0221",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1033368006",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fircrest, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2014; 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.