Pierce College

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

Legal business name

PIERCE COLLEGE

Practice address

9401 Farwest Drive SW
Lakewood, WA 98498-1999

Phone

(253) 964-6694

Fax

(253) 964-6313

NPI assigned

Jun 6, 2007

Organization subpart

No

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

Authorized official

Name

Joann E Wiszmann, CPA

Title

Vice President Administrative Servi

Phone

(253) 964-6506

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pierce College Dental Hygiene Department Doing business as

Locations

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376746792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9401 FARWEST DRIVE SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984981999",
            "telephone_number": "253-964-6694",
            "fax_number": "253-964-6313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9401 FARWEST DRIVE SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984981999",
            "telephone_number": "253-964-6694",
            "fax_number": "253-964-6313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIERCE COLLEGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WISZMANN",
        "authorized_official_first_name": "JOANN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "VICE PRESIDENT ADMINISTRATIVE SERVI",
        "authorized_official_telephone_number": "253-964-6506",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dental Hygienist",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5001565",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pierce College Dental Hygiene Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Faith Harmony Philmlee
• Linda Phimmavong, LMP
• Phoenix Rising Wellness Center
• Adriana L Phothisane
• Phyllis Cares Adult Family Home One LLC
• Pierce County Fire Protection #2
• Khadeja Pierre
• Alexia Louise Pierson, B.A.
• Delpha E Pike, COTA L
• Pine Tree Acupuncture and Herbs, LLC

• Dental Hygienist in Lakewood, WA
• Providers in Lakewood, WA by specialty
• Dental Hygienist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.