Organization Active NPI

Sixth Avenue Denture Center, PLLC

  • Denturist
  • Tacoma, WA
National Provider Identifier
1366691677
Registry record updated Sep 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DenturistTaxonomy code 122400000X
License
DN0000473 Issued in WA
Legal business name
SIXTH AVENUE DENTURE CENTER, PLLC
Practice address
1217 6TH Ave
Tacoma, WA 98405-4004
Phone
(253) 627-8178
Fax
(253) 627-5853
NPI assigned
Sep 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2008

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

Authorized official

Name
Mrs. Cindy J Reed
Title
Office Manager
Phone
(253) 627-8178

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DenturistGroup: 193400000X SINGLE SPECIALTY GROUP 122400000X DN0000473 WA Primary

Addresses

Primary practice location

1217 6TH Ave
Tacoma, WA 98405-4004

Mailing address

1217 6TH Ave
Tacoma, WA 98405-4004
Phone (253) 627-8178

Other identifiers 1

IdentifierTypeStateIssuer
5056965OtherWADEPARTMENT OF SOCIAL AND HEALTH SERVICES

National Provider Directory

National Provider Directory

Locations

1217 6th Ave
Tacoma, WA 98405
Phone (253) 627-8178

NPI Registry JSON

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

{
    "created_epoch": "1221004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221004800000",
    "number": "1366691677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 6TH AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984054004",
            "telephone_number": "253-627-8178",
            "fax_number": "253-627-5853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 6TH AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984054004",
            "telephone_number": "253-627-8178",
            "fax_number": "253-627-5853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIXTH AVENUE DENTURE CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-10",
        "last_updated": "2008-09-10",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "253-627-8178",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Denturist",
            "state": "WA",
            "license": "DN0000473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF SOCIAL AND HEALTH SERVICES",
            "identifier": "5056965",
            "state": "WA"
        }
    ],
    "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 Sep 10, 2008; 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.