Organization Active NPI

Dent Korsmo & Henry D.D.S., P.S.

  • Dentist
  • Tacoma, WA
National Provider Identifier
1457798092
Registry record updated May 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
DENT KORSMO & HENRY D.D.S., P.S.
Practice address
12165 Pacific Ave
Suite a
Tacoma, WA 98444
Phone
(253) 537-4011
Fax
(253) 537-2939
NPI assigned
May 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2013

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

Authorized official

Name
Mrs. Darilyn Henry
Title
General Manager
Phone
(253) 537-4011

Specialties & licenses 1

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

Addresses

Primary practice location

12165 Pacific Ave
Suite a
Tacoma, WA 98444

Mailing address

12165 Pacific Ave
Suite a
Tacoma, WA 98444
Phone (253) 537-4011

Other names 1

  • Parkland Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

12165 Pacific Ave S
#A
Tacoma, WA 98444
Phone (253) 537-4011

NPI Registry JSON

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

{
    "created_epoch": "1369180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369180800000",
    "number": "1457798092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12165 PACIFIC AVE",
            "address_2": "SUITE A",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98444",
            "telephone_number": "253-537-4011",
            "fax_number": "253-537-2939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12165 PACIFIC AVE",
            "address_2": "SUITE A",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98444",
            "telephone_number": "253-537-4011",
            "fax_number": "253-537-2939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENT KORSMO & HENRY D.D.S., P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-22",
        "last_updated": "2013-05-22",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "DARILYN",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "253-537-4011",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parkland Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tacoma, WA

Sources for this page

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