Active NPI
Thomas Alejandro Contreras, D.D.S.
- Dentist
- Tacoma, WA
National Provider Identifier
1326593401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DE60675349
- Practice address
- 3602 6TH Ave Ste 104
Tacoma, WA 98406-5450 - Phone
- (253) 777-4461
- NPI assigned
- Aug 18, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DE60675349 | WA | Primary |
Addresses
Primary practice location
3602 6TH Ave Ste 104
Tacoma, WA 98406-5450
Mailing address
345 SW Bennett Ave
Prosser, WA 99350-6580
Phone (509) 778-1671
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE60675349 | WA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471478400000",
"number": "1326593401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "345 SW BENNETT AVE",
"city": "PROSSER",
"state": "WA",
"postal_code": "993506580",
"telephone_number": "509-778-1671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3602 6TH AVE STE 104",
"city": "TACOMA",
"state": "WA",
"postal_code": "984065450",
"telephone_number": "253-777-4461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONTRERAS",
"first_name": "THOMAS",
"middle_name": "ALEJANDRO",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-08-18",
"last_updated": "2016-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "DE60675349",
"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 Aug 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.