Sound Oral & Maxillofacial Surgery

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DE6354 Issued in WA

Legal business name

SOUND ORAL & MAXILLOFACIAL SURGERY

Practice address

1628 S Mildred St
Suite 210
Tacoma, WA 98465-1627

Phone

(253) 564-1000

Fax

(253) 564-0102

NPI assigned

Nov 8, 2006

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

Robert Todd Erickson, D.D.S.

Title

Officer

Phone

(253) 564-1000

Specialties & licenses 1

Addresses

Other identifiers 2

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.

• Manuel J La Rosa, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Tacoma, WA
  • NPI 1669512661
  NPD (past)
• Silvia La Rosa, D.D.S

  • Periodontics
  • Tacoma, WA
  • NPI 1912039348
  NPD (past)

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396815221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1628 S. MILDRED ST.",
            "address_2": "SUITE 210",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98465",
            "telephone_number": "253-564-1000",
            "fax_number": "253-564-0102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1628 S MILDRED ST",
            "address_2": "SUITE 210",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984651627",
            "telephone_number": "253-564-1000",
            "fax_number": "253-564-0102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUND ORAL & MAXILLOFACIAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ERICKSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "253-564-1000",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "WA",
            "license": "DE6354",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "ER2477",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "01614677",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sound Integrated Health LLC
• Sound LTC of California I PC
• Sound LTC of California II PC
• Sound Mind Sound Body Nurse Delegation Services, Inc.
• Sound Options, Inc
• Sound Rd PLLC
• Sound Retina PS
• Sound Sleep Solutions
• Sound Sports Performance LLC
• Sound Youth Counseling

• Oral and Maxillofacial Surgery (Dentist) in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Oral and Maxillofacial Surgery (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.