S L Wittmer DMD PS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

7882 Issued in WA

Legal business name

S L WITTMER DMD PS

Doing business as

parkland endodontics

Practice address

12165 Pacific Ave S Ste B
Tacoma, WA 98444-5124

Phone

(253) 536-3636

NPI assigned

Sep 30, 2009

Last updated

Sep 30, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sean Wittmer

Title

President

Phone

(253) 536-3636

Specialties & licenses 1

Addresses

Other names 1

• parkland endodontics Doing business as

Locations

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

{
    "created_epoch": "1254268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254268800000",
    "number": "1558695056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12165 PACIFIC AVE S STE B",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984445124",
            "telephone_number": "253-536-3636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12165 PACIFIC AVE S STE B",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984445124",
            "telephone_number": "253-536-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S L WITTMER DMD PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-30",
        "last_updated": "2009-09-30",
        "status": "A",
        "authorized_official_last_name": "WITTMER",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "253-536-3636"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "WA",
            "license": "7882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "parkland endodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Zachary John Ryan, DO
• Nicholas Ryder, CPC
• Lexus Rymer
• Zachary Rynders
• Jennifer Ryu, PHARMD
• Robert James Saari
• Tara Shahrzad Sabeti, PHARMD
• Brandy D. Sabin, LMP
• Ronald Allen Sabins, DDS
• Ramonalisa Sablan

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2009; 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.