NPIMap

Organization Active NPI

Power Warriors Investments LLC

  • Dentist
  • Lakewood, WA
National Provider Identifier
1386082741
Registry record updated Jun 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE60113220 Issued in WA
Legal business name
POWER WARRIORS INVESTMENTS LLC
Practice address
9873 Bridgeport Way SW Ste a
Lakewood, WA 98499-2895
Phone
(253) 588-6208
Fax
(253) 582-0626
NPI assigned
Jun 7, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2013

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

Authorized official

Name
Dr. Phong Thanh Dang, DDS
Title
Manager/Dentist
Phone
(253) 588-6208

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DE60113220 WA Primary

Addresses

Primary practice location

9873 Bridgeport Way SW Ste a
Lakewood, WA 98499-2895

Mailing address

9873 Bridgeport Way SW Ste a
Lakewood, WA 98499-2895
Phone (253) 588-6208

Other names 1

  • Smile Forever Dental Doing business as

National Provider Directory

National Provider Directory

Locations

9873 Bridgeport Way SW
Ste A
Lakewood, WA 98499
Phone (253) 582-8712

NPI Registry JSON

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

{
    "created_epoch": "1370563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370563200000",
    "number": "1386082741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9873 BRIDGEPORT WAY SW STE A",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984992895",
            "telephone_number": "253-588-6208",
            "fax_number": "253-582-0626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9873 BRIDGEPORT WAY SW STE A",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984992895",
            "telephone_number": "253-588-6208",
            "fax_number": "253-582-0626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWER WARRIORS INVESTMENTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-07",
        "last_updated": "2013-06-07",
        "status": "A",
        "authorized_official_last_name": "DANG",
        "authorized_official_first_name": "PHONG",
        "authorized_official_middle_name": "THANH",
        "authorized_official_title_or_position": "MANAGER/DENTIST",
        "authorized_official_telephone_number": "253-588-6208",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60113220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Forever Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakewood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2013; 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.