Organization Active NPI

Jason Perlman DDS PLLC

  • Dentist
  • Spanaway, WA
National Provider Identifier
1457862831
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
JASON PERLMAN DDS PLLC
Practice address
22219 Mountain Hwy E Ste A3
Spanaway, WA 98387-7557
Phone
(360) 489-6594
NPI assigned
Oct 12, 2017
Last updated
Jan 27, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Authorized official

Name
Dr. Jason Perlman, DDSNPI 1952729360
Title
Dentist/Owner
Phone
(330) 727-3106

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

22219 Mountain Hwy E Ste A3
Spanaway, WA 98387-7557

Mailing address

5105 Grand Loop Unit 101
Tacoma, WA 98407-3175
Phone (330) 727-3106

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251231001803 WA DME Supplier - Oral Surgery - Dentist 4385130178 Practice locations: Spanaway, WA

National Provider Directory

National Provider Directory

Locations

22219 Mountain Hwy E
Ste A3
Spanaway, WA 98387
Phone (253) 275-1255

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1507766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737936000000",
    "number": "1457862831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5105 GRAND LOOP UNIT 101",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984073175",
            "telephone_number": "330-727-3106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22219 MOUNTAIN HWY E STE A3",
            "city": "SPANAWAY",
            "state": "WA",
            "postal_code": "983877557",
            "telephone_number": "360-489-6594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON PERLMAN DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-12",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A",
        "authorized_official_last_name": "PERLMAN",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "330-727-3106",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spanaway, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.