Active NPI
Alison N Polwarth, DDS
- General Practice Dentistry
- Lakewood, WA
National Provider Identifier
1417162322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 6299
- Practice address
- 8412 83Rd Ave SW
Lakewood, WA 98498 - Phone
- (253) 588-1511
- Fax
- (253) 588-7424
- NPI assigned
- May 14, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 6299 | WA | Primary |
Addresses
Primary practice location
8412 83Rd Ave SW
Lakewood, WA 98498
Mailing address
8412 83Rd Ave SW
Tacoma, WA 98498
Phone (253) 588-1511
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6299 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1417162322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8412 83RD AVE SW",
"city": "TACOMA",
"state": "WA",
"postal_code": "98498",
"telephone_number": "253-588-1511",
"fax_number": "253-588-7424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8412 83RD AVE SW",
"city": "LAKEWOOD",
"state": "WA",
"postal_code": "98498",
"telephone_number": "253-588-1511",
"fax_number": "253-588-7424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLWARTH",
"first_name": "ALISON",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WA",
"license": "6299",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.