Individual provider Active NPI

Esther E. Min, D.D.S.

  • General Practice Dentistry
  • Tacoma, WA
National Provider Identifier
1528113511
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE00008832 Issued in WA
Practice address
1628 S Mildred St
Suite 201
Tacoma, WA 98465-1627
Phone
(253) 566-0900
Fax
(253) 565-4725
NPI assigned
Jan 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DE00008832 WA Primary

Addresses

Primary practice location

1628 S Mildred St
Suite 201
Tacoma, WA 98465-1627

Mailing address

1628 S Mildred St
Suite 201
Tacoma, WA 98465-1627
Phone (253) 566-0900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130627000507 WA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 4789824574

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DE00008832WAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528113511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1628 S MILDRED ST",
            "address_2": "SUITE 201",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984651627",
            "telephone_number": "253-566-0900",
            "fax_number": "253-565-4725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1628 S MILDRED ST",
            "address_2": "SUITE 201",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984651627",
            "telephone_number": "253-566-0900",
            "fax_number": "253-565-4725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIN",
        "first_name": "ESTHER",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00008832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.