Individual provider Active NPI

Timothy Duke Gintz, D.V.M.

  • Veterinarian
  • Tacoma, WA
National Provider Identifier
1326333956
Registry record updated Jun 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
VeterinarianTaxonomy code 174M00000X
License
VT00003066 Issued in WA
Practice address
10234 Pacific Ave S
Tacoma, WA 98444-6048
Phone
(235) 537-0241
Fax
(253) 535-3587
NPI assigned
Jun 11, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Veterinarian 174M00000X VT00003066 WA Primary

Addresses

Primary practice location

10234 Pacific Ave S
Tacoma, WA 98444-6048

Mailing address

10234 Pacific Ave S
Tacoma, WA 98444-6048
Phone (235) 537-0241

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
VT00003066WAMDVeterinarian

NPI Registry JSON

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

{
    "created_epoch": "1307750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307750400000",
    "number": "1326333956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10234 PACIFIC AVE S",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984446048",
            "telephone_number": "235-537-0241",
            "fax_number": "253-535-3587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10234 PACIFIC AVE S",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984446048",
            "telephone_number": "235-537-0241",
            "fax_number": "253-535-3587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GINTZ",
        "first_name": "TIMOTHY",
        "middle_name": "DUKE",
        "credential": "D.V.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-11",
        "last_updated": "2011-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174M00000X",
            "taxonomy_group": "",
            "desc": "Veterinarian",
            "state": "WA",
            "license": "VT00003066",
            "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 Jun 11, 2011; 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.