Active NPI
Irma Tanchoco Alcantara, DENTURIST
- Denturist
- Seattle, WA
National Provider Identifier
1356653067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Denturist
- License
- DN00000049
- Practice address
- 7101 ML King Jr Way South
Suite 211
Seattle, WA 98118 - Phone
- (206) 722-8858
- Fax
- (206) 722-0992
- NPI assigned
- Jul 10, 2010
- Last updated
- Jul 10, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Denturist | 122400000X | DN00000049 | WA | Primary |
Addresses
Primary practice location
7101 ML King Jr Way South
Suite 211
Seattle, WA 98118
Mailing address
7101 ML King Jr Way South
Suite 211
Seattle, WA 98118
Phone (206) 722-8858
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
| License | State | Type | Specialty |
|---|---|---|---|
| DN00000049 | WA | MD | Denturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| King Plaza Dental & Dentures | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Seattle, WA
- NPI 1427360148
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278720000000",
"number": "1356653067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7101 ML KING JR WAY SOUTH",
"address_2": "SUITE 211",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98118",
"telephone_number": "206-722-8858",
"fax_number": "206-722-0992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7101 ML KING JR WAY SOUTH",
"address_2": "SUITE 211",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98118",
"telephone_number": "206-722-8858",
"fax_number": "206-722-0992"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALCANTARA",
"first_name": "IRMA",
"middle_name": "TANCHOCO",
"credential": "DENTURIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-10",
"last_updated": "2010-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "122400000X",
"taxonomy_group": "",
"desc": "Denturist",
"state": "WA",
"license": "DN00000049",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.