Organization Active NPI

Donald C Paradise DDS PS

  • Dentist
  • Tacoma, WA
National Provider Identifier
1265542963
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3596 Issued in WA
Legal business name
DONALD C PARADISE DDS PS
Practice address
9618 59TH Ave SW
Tacoma, WA 98498
Phone
(253) 582-1570
Fax
(253) 582-2323
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Donald Charles Paradise, DDS
Title
Owner Dentist
Phone
(253) 582-1570

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 3596 WA Primary

Addresses

Primary practice location

9618 59TH Ave SW
Tacoma, WA 98498

Mailing address

9618 59TH Ave SW
Lake Wood Dental Building
Tacoma, WA 98498
Phone (253) 582-1570

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265542963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9618 59TH AVE SW",
            "address_2": "LAKE WOOD DENTAL BUILDING",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98498",
            "telephone_number": "253-582-1570",
            "fax_number": "253-582-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9618 59TH AVE SW",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98498",
            "telephone_number": "253-582-1570",
            "fax_number": "253-582-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD C PARADISE DDS PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PARADISE",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "253-582-1570",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "3596",
            "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 Aug 22, 2020; 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.