Organization Active NPI

Chris Nichols MD PS

Doing business as Pearl Plastic Surgery

  • Medical Specialty Clinic/Center
  • Tacoma, WA
National Provider Identifier
1538308143
Registry record updated Nov 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
MD00049126 Issued in WA
Legal business name
CHRIS NICHOLS MD PS
Doing business as
Pearl Plastic Surgery
Practice address
6002 Westgate Blvd Ste 160
Tacoma, WA 98406-2571
Phone
(253) 759-4522
Fax
(253) 759-4699
NPI assigned
Feb 5, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2010

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

Authorized official

Name
Christopher Nichols, M.D.
Title
Owner
Phone
(253) 973-5916

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X MD00049126 WA Primary

Addresses

Primary practice location

6002 Westgate Blvd Ste 160
Tacoma, WA 98406-2571

Mailing address

6002 Westgate Blvd
Suite 160
Tacoma, WA 98406-2570
Phone (253) 759-4522

Other names 1

  • Pearl Plastic Surgery Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1233792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289779200000",
    "number": "1538308143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6002 WESTGATE BLVD",
            "address_2": "SUITE 160",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984062570",
            "telephone_number": "253-759-4522",
            "fax_number": "253-759-4699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6002 WESTGATE BLVD STE 160",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984062571",
            "telephone_number": "253-759-4522",
            "fax_number": "253-759-4699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRIS NICHOLS MD PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-05",
        "last_updated": "2010-11-15",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-973-5916",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "WA",
            "license": "MD00049126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pearl Plastic Surgery",
            "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 Nov 15, 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.