Jed de la Paz LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

60772163 Issued in WA

Legal business name

JED DE LA PAZ LLC

Practice address

15 Oregon Ave
Tacoma, WA 98409-7461

Phone

(253) 475-0262

NPI assigned

Jan 3, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Jed D De la Paz, DDS

Title

Owner Dentist

Phone

(626) 641-8214

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Julia Jiae You, D.D.S.

  • General Practice Dentistry
  • Tacoma, WA
  • NPI 1386023257
  NPD (past)

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

{
    "created_epoch": "1514937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514937600000",
    "number": "1366959009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 OREGON AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984097461",
            "telephone_number": "253-475-0262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 OREGON AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984097461",
            "telephone_number": "253-475-0262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JED DE LA PAZ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-03",
        "last_updated": "2018-01-03",
        "status": "A",
        "authorized_official_last_name": "DE LA PAZ",
        "authorized_official_first_name": "JED",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "626-641-8214",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "60772163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Ann Jasaitis, NP
• Ashlee M Jasmin
• Jasper Healing Psychiatry PLLC
• Sophia Arianne Javar
• Aaron Javinar, RN
• Bryan David Jeffers-Atkins, BA, CDP, AAC
• Merissa Jefferson
• Mark David Jeffords, M.D.
• Lea Rayann Jefson
• Michael Jenkins-Guarnieri, PH.D.

• Dental Clinic/Center in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Dental Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2018; 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.