Active NPI
Ronald Allen Sabins, DDS
- Endodontics
- Tacoma, WA
National Provider Identifier
1255496972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- DE8575
- Practice address
- 3866 S 74TH St
Suite 200
Tacoma, WA 98409-1045 - Phone
- (855) 433-6825
- Fax
- (253) 761-2732
- NPI assigned
- Dec 22, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | DE8575 | WA | Primary |
| Endodontics | 1223E0200X | N-04265 | ID |
Addresses
Primary practice location
3866 S 74TH St
Suite 200
Tacoma, WA 98409-1045
Mailing address
6950 NE Campus Way
Hillsboro, OR 97124-5611
Phone (503) 952-2164
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N-04265 | ID | MD | Endodontist |
| DE8575 | WA | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Willamette Dental Group, P.C. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Tacoma, WA
- NPI 1881520880
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474243200000",
"number": "1255496972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6950 NE CAMPUS WAY",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "971245611",
"telephone_number": "503-952-2164",
"fax_number": "503-526-4418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3866 S 74TH ST",
"address_2": "SUITE 200",
"city": "TACOMA",
"state": "WA",
"postal_code": "984091045",
"telephone_number": "855-433-6825",
"fax_number": "253-761-2732"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SABINS",
"first_name": "RONALD",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-22",
"last_updated": "2016-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "WA",
"license": "DE8575",
"primary": true
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "ID",
"license": "N-04265",
"primary": false
}
],
"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 Sep 19, 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.