Organization Active NPI

JD Tauben Corp

  • Internal Medicine Physician
  • Olympia, WA
National Provider Identifier
1487969390
Registry record updated Aug 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD00018334 Issued in WA
Legal business name
JD TAUBEN CORP
Practice address
3209 Harrison Ave NW
Suite 181
Olympia, WA 98502-8704
Phone
(206) 403-6491
NPI assigned
Aug 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2010

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

Authorized official

Name
David Tauben
Title
Ceo
Phone
20964036491

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X MD00018334 WA Primary

Addresses

Primary practice location

3209 Harrison Ave NW
Suite 181
Olympia, WA 98502-8704

Mailing address

3209 Harrison Ave NW
Suite 181
Olympia, WA 98502-8704

National Provider Directory

National Provider Directory

Locations

3209 Harrison Ave NW
Ste 181
Olympia, WA 98502
Phone (206) 403-6491

NPI Registry JSON

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

{
    "created_epoch": "1281916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281916800000",
    "number": "1487969390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3209 HARRISON AVE NW",
            "address_2": "SUITE 181",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985028704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3209 HARRISON AVE NW",
            "address_2": "SUITE 181",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985028704",
            "telephone_number": "206-403-6491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JD TAUBEN CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-16",
        "last_updated": "2010-08-16",
        "status": "A",
        "authorized_official_last_name": "TAUBEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "20964036491"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD00018334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2010; 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.