Individual provider Active NPI

Donald Leon Sinden, D.O.

  • Family Medicine Physician
  • Puyallup, WA
National Provider Identifier
1316922735
Registry record updated Jan 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OP00001452 Issued in WA
Practice address
11216 Sunrise Blvd E
# 3-106
Puyallup, WA 98374-8848
Phone
(253) 848-5951
Fax
(253) 845-7073
NPI assigned
Dec 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OP00001452 WA Primary

Addresses

Primary practice location

11216 Sunrise Blvd E
# 3-106
Puyallup, WA 98374-8848

Mailing address

3908 10TH St SE
Puyallup, WA 98374-2188
Phone (253) 848-5951

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050728001275 WA Practitioner - Family Practice 3274435854 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OP00001452WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Hill Family Medicine PC Family Medicine CurrentSince Jan 1, 1986 Accepting new patients
Cascade Eye & Skin Centers PC PastSince Aug 1, 1994 Accepting new patients

Locations

611 31st Ave SW
Ste C
Puyallup, WA 98373
Phone (253) 848-5951

3908 10th St SE
Ste 200
Puyallup, WA 98374

3908 10th St SE
Puyallup, WA 98374
Phone (253) 848-5951

11216 Sunrise Blvd E
Ste 3-106
Puyallup, WA 98374
Phone (253) 341-0698

11216 Sunrise Blvd E
#3106
Puyallup, WA 98374
Phone (253) 848-5951

Interoperability endpoints

  • Direct secure messaging: dsinden35056@direct.tecmc.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1134000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453680000000",
    "number": "1316922735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3908 10TH ST SE",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983742188",
            "telephone_number": "253-848-5951",
            "fax_number": "253-845-7073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11216 SUNRISE BLVD E",
            "address_2": "# 3-106",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983748848",
            "telephone_number": "253-848-5951",
            "fax_number": "253-845-7073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINDEN",
        "first_name": "DONALD",
        "middle_name": "LEON",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-08",
        "last_updated": "2016-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "OP00001452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

Verify at the official NPI Registry.