Organization Active NPI

Harry a. Pierce, DO, PS

  • Primary Care Clinic/Center
  • Burien, WA
National Provider Identifier
1366697310
Registry record updated Nov 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
OP0000769 Issued in WA
Legal business name
HARRY A. PIERCE, DO, PS
Practice address
13014 12TH Ave SW
Burien, WA 98146-3110
Phone
(206) 244-5805
Fax
(206) 248-7362
NPI assigned
Nov 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2008

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

Authorized official

Name
Dr. Harry A Pierce, DONPI 1801877717
Title
Owner/President
Phone
(206) 244-5805

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X OP0000769 WA Primary

Addresses

Primary practice location

13014 12TH Ave SW
Burien, WA 98146-3110

Mailing address

13014 12TH Ave SW
Burien, WA 98146-3110
Phone (206) 244-5805

Other identifiers 3

IdentifierTypeStateIssuer
15744OtherWADEPARTMENT OF LABOR AND INDUSTRIES
1294008MedicaidWA
P624OtherWAREGENCE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091019000219 WA Part B Supplier - Clinic/Group Practice 2264579648 Receives reassigned benefits from 1 practitioner
Practice locations: Burien, WA

National Provider Directory

National Provider Directory

Locations

13014 12th Ave SW
Burien, WA 98146
Phone (206) 244-0867

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1226966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226966400000",
    "number": "1366697310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13014 12TH AVE SW",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981463110",
            "telephone_number": "206-244-5805",
            "fax_number": "206-248-7362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13014 12TH AVE SW",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981463110",
            "telephone_number": "206-244-5805",
            "fax_number": "206-248-7362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRY A. PIERCE, DO, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-18",
        "last_updated": "2008-11-18",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "HARRY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "206-244-5805",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "WA",
            "license": "OP0000769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF LABOR AND INDUSTRIES",
            "identifier": "15744",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1294008",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "P624",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burien, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.