NPIMap

Organization Active NPI

Dr. Nancy K. Rothbauer

  • Dental Clinic/Center
  • Lakewood, WA
National Provider Identifier
1275986218
Registry record updated Jul 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DE60663020 Issued in WA
Legal business name
DR. NANCY K. ROTHBAUER
Practice address
12502 Vernon Ave SW
Lakewood, WA 98498-2559
Phone
(253) 582-9010
Fax
(253) 582-1233
NPI assigned
Jul 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2016

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

Authorized official

Name
Nancy Rothbauer, DDSNPI 1689898991
Title
General Dentist
Phone
(253) 582-9010

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 DE60663020 WA Primary

Addresses

Primary practice location

12502 Vernon Ave SW
Lakewood, WA 98498-2559

Mailing address

12502 Vernon Ave SW
Lakewood, WA 98498-2559
Phone (253) 582-9010

National Provider Directory

National Provider Directory

Locations

12502 Vernon Ave SW
Lakewood, WA 98498
Phone (253) 582-9010

Practitioners & affiliated clinicians

Practitioners 2

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": "1468454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468454400000",
    "number": "1275986218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12502 VERNON AVE SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984982559",
            "telephone_number": "253-582-9010",
            "fax_number": "253-582-1233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12502 VERNON AVE SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984982559",
            "telephone_number": "253-582-9010",
            "fax_number": "253-582-1233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. NANCY K. ROTHBAUER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-14",
        "last_updated": "2016-07-14",
        "status": "A",
        "authorized_official_last_name": "ROTHBAUER",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "253-582-9010",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "DE60663020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, WA

Sources for this page

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

Verify at the official NPI Registry.