Lance Daniel German, DE60369954

Primary specialty

DentistTaxonomy code 122300000X

License

DE60369954 Issued in WA

Practice address

409 Custer Way SE
Suite C
Tumwater, WA 98501-3350

Phone

(360) 570-8016

Fax

(306) 570-8275

NPI assigned

Jun 12, 2013

Last updated

Mar 3, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1370995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425340800000",
    "number": "1326486317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 CUSTER WAY SE",
            "address_2": "SUITE C",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985013350",
            "telephone_number": "360-570-8016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 CUSTER WAY SE",
            "address_2": "SUITE C",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985013350",
            "telephone_number": "360-570-8016",
            "fax_number": "306-570-8275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERMAN",
        "first_name": "LANCE",
        "middle_name": "DANIEL",
        "credential": "DE60369954",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-12",
        "last_updated": "2015-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60369954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cindy Lisseth Garrido-Hernandez
• Emily N Gaughan
• Sara Marie Geiger, DPT
• Denise L Gentzler, PT
• Genuine Massage by Reid, Co.
• Zachary German, O.D.
• Andrew G. Giannotti, MD
• Samantha Gibb, MSW
• Pandy Beth Gibson
• William C Gierach, LAT

• Dentist in Tumwater, WA
• Providers in Tumwater, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.