NPIMap

Organization Active NPI

Broughton Dunn PLLC

Doing business as Light Dental Studios

  • Customized Equipment (DME)
  • Tacoma, WA
National Provider Identifier
1538514203
Registry record updated Apr 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
BROUGHTON DUNN PLLC
Doing business as
Light Dental Studios
Practice address
5225 Tacoma Mall Blvd
Suite E104
Tacoma, WA 98409-7018
Phone
(253) 474-3223
Fax
(253) 473-6762
NPI assigned
Apr 29, 2016
Last updated
Apr 29, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2016

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

Authorized official

Name
Dr. Angela Dunn, DDSNPI 1013147297
Title
Dentist & Partner
Phone
(253) 848-2331

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X WA Primary

Addresses

Primary practice location

5225 Tacoma Mall Blvd
Suite E104
Tacoma, WA 98409-7018

Mailing address

5225 Tacoma Mall Blvd
Suite E104
Tacoma, WA 98409-7018
Phone (253) 474-3223

Other names 1

  • LIGHT DENTAL STUDIOS Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

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": "1461888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461888000000",
    "number": "1538514203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5225 TACOMA MALL BLVD",
            "address_2": "SUITE E104",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984097018",
            "telephone_number": "253-474-3223",
            "fax_number": "253-473-6762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5225 TACOMA MALL BLVD",
            "address_2": "SUITE E104",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984097018",
            "telephone_number": "253-474-3223",
            "fax_number": "253-473-6762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROUGHTON DUNN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-29",
        "last_updated": "2016-04-29",
        "status": "A",
        "authorized_official_last_name": "DUNN",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "DENTIST & PARTNER",
        "authorized_official_telephone_number": "253-848-2331",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LIGHT DENTAL STUDIOS",
            "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 Apr 29, 2016; 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.