Organization Active NPI

Elizabeth Manchester DDS PLLC

  • General Practice Dentistry
  • Lacey, WA
National Provider Identifier
1295596112
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ELIZABETH MANCHESTER DDS PLLC
Practice address
5340 Corporate Center Loop SE Ste a
Lacey, WA 98503-5590
Phone
(360) 943-6378
Fax
(360) 943-4866
NPI assigned
Jan 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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

Authorized official

Name
Jennifer Lynn Nichole Worley
Title
Financial Coordinator
Phone
(360) 943-6378

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

5340 Corporate Center Loop SE Ste a
Lacey, WA 98503-5590

Mailing address

5340 Corporate Center Loop SE Ste a
Lacey, WA 98503-5590
Phone (360) 943-6378

Other names 1

  • Dental Care By Design Doing business as

National Provider Directory

National Provider Directory

Locations

5340 Corporate Center Loop SE
Ste A
Lacey, WA 98503
Phone (360) 357-4578

NPI Registry JSON

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

{
    "created_epoch": "1705536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753660800000",
    "number": "1295596112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5340 CORPORATE CENTER LOOP SE STE A",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985035590",
            "telephone_number": "360-943-6378",
            "fax_number": "360-943-4866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5340 CORPORATE CENTER LOOP SE STE A",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985035590",
            "telephone_number": "360-943-6378",
            "fax_number": "360-943-4866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH MANCHESTER DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-18",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A",
        "authorized_official_last_name": "WORLEY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LYNN NICHOLE",
        "authorized_official_title_or_position": "FINANCIAL COORDINATOR",
        "authorized_official_telephone_number": "360-943-6378"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Care By Design",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lacey, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; 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.