Organization Active NPI

Dan E Ranniger MD PS Inc

  • Legal Medicine
  • Kent, WA
National Provider Identifier
1295873578
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
MD00005641 Issued in WA
Legal business name
DAN E RANNIGER MD PS INC
Practice address
13210 SE 240TH St
A6
Kent, WA 98042-5182
Phone
(253) 854-9570
Fax
(253) 854-3478
NPI assigned
Feb 1, 2007
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. Dan E. Ranniger, M.D.
Title
Owner
Phone
(253) 854-9570

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal MedicineGroup: 193400000X SINGLE SPECIALTY GROUP 173000000X MD00005641 WA Primary

Addresses

Primary practice location

13210 SE 240TH St
A6
Kent, WA 98042-5182

Mailing address

13210 SE 240TH St
A6
Kent, WA 98042-5182
Phone (253) 854-9570

Other identifiers 1

IdentifierTypeStateIssuer
1705300MedicaidWA

National Provider Directory

National Provider Directory

Locations

13210 SE 240th St
Ste A6
Kent, WA 98042
Phone (206) 854-9570

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": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295873578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13210 SE 240TH ST",
            "address_2": "A6",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980425182",
            "telephone_number": "253-854-9570",
            "fax_number": "253-854-3478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13210 SE 240TH ST",
            "address_2": "A6",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980425182",
            "telephone_number": "253-854-9570",
            "fax_number": "253-854-3478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAN E RANNIGER MD PS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RANNIGER",
        "authorized_official_first_name": "DAN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-854-9570",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "WA",
            "license": "MD00005641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1705300",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, 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.