West Tacoma Dental LLC

Primary specialty

DentistTaxonomy code 122300000X

License

DE60235923 Issued in WA

Legal business name

WEST TACOMA DENTAL LLC

Practice address

2501 N Pearl St
Tacoma, WA 98406-2540

Phone

(253) 752-6349

NPI assigned

Jan 11, 2012

Organization subpart

No

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

Authorized official

Name

Daniel David Crossen, DMD

Title

Owner

Phone

(253) 752-6349

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Morgan Tyler Ball, D.M.D

  • General Practice Dentistry
  • Tacoma, WA
  • NPI 1992050918
  NPD (past)
• Ryan Del Mundo Cordero, DMD

  • Dentist
  • Tacoma, WA
  • NPI 1033594072
  NPD (past)
• Matthew Nuttall

  • General Practice Dentistry
  • Tacoma, WA
  • NPI 1174051197
  NPD (past)

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

{
    "created_epoch": "1326240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326240000000",
    "number": "1518237221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 N PEARL ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984062540",
            "telephone_number": "253-752-6349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 N PEARL ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984062540",
            "telephone_number": "253-752-6349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST TACOMA DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-11",
        "last_updated": "2012-01-11",
        "status": "A",
        "authorized_official_last_name": "CROSSEN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-752-6349",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60235923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirsten Wesolek, MD
• Francis William Wessbecher, M.D.
• West Coast Counseling, PLLC
• West End Wellbeing LLC
• West Seattle Psychotherapy PLLC
• West Tacoma Surgery Center, LLC
• Ashley West, R.D
• Charles Franklin West, B.A.
• Connie Gail West, LICSW
• Ivey West, M.ED.

• Dentist in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; 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.