Active NPI
Ghaydaa Linjawi, DDS
- Pediatric Dentistry
- Tacoma, WA
National Provider Identifier
1558872978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 60662094
- Practice address
- 3402 S 18TH St
Tacoma, WA 98405 - Phone
- (305) 333-6453
- NPI assigned
- Oct 12, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 60662094 | WA | |
| Pediatric Dentistry | 1223P0221X | 60662094 | WA | Primary |
Addresses
Primary practice location
3402 S 18TH St
Tacoma, WA 98405
Mailing address
9317 113TH St E Ste a
Puyallup, WA 98373-3876
Phone (253) 848-7000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60662094 | WA | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530057600000",
"number": "1558872978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9317 113TH ST E STE A",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983733876",
"telephone_number": "253-848-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3402 S 18TH ST",
"city": "TACOMA",
"state": "WA",
"postal_code": "98405",
"telephone_number": "305-333-6453"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINJAWI",
"first_name": "GHAYDAA",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-12",
"last_updated": "2018-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "60662094",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "WA",
"license": "60662094",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jun 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.