Anzi Dental Center 1

Primary specialty

DentistTaxonomy code 122300000X

License

DE00008264 Issued in WA

Legal business name

ANZI DENTAL CENTER 1

Practice address

3711 Pacific Ave
Ste 300
Tacoma, WA 98418

Phone

(253) 671-9966

Fax

(253) 471-3540

NPI assigned

Jan 31, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Rosa Maria Cortesi

Title

Office Manaher(Corporate Office)

Phone

(253) 671-9966

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ronald Brun, DDS

  • Dentist
  • Tacoma, WA
  • NPI 1497940415
  NPD (past)
• Sherri Ann Scott, D.D.S.

  • Dentist
  • Lakeland, FL
  • NPI 1073635785
  NPD (past)

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386781250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3711 PACIFIC AVE",
            "address_2": "STE 300",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98418",
            "telephone_number": "253-671-9966",
            "fax_number": "253-471-3540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3711 PACIFIC AVE",
            "address_2": "STE 300",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98418",
            "telephone_number": "253-671-9966",
            "fax_number": "253-471-3540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANZI DENTAL CENTER 1",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CORTESI",
        "authorized_official_first_name": "ROSA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "OFFICE MANAHER(CORPORATE OFFICE)",
        "authorized_official_telephone_number": "253-671-9966",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00008264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5036983",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Paul Antymis, O.D.
• Amanda Marie Anuraga, EAMP
• Kate Anusewicz, DPT
• Zain Ali Anwar
• Jamal Chizoba Anyalebechi, M.D.
• Reynaldo Aparicio
• Apex Kinetics LLC (Apex Kinetics)
• Aveyauna Jean Apfel I
• Apple Physical Therapy LLC (ATI Physical Therapy)
• Apple Physical Therapy PS (ATI Physical Therapy)

• Dentist in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Dentist 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.