Active NPI
Richard Ory, MD
- Pediatrics Physician
- Federal Way, WA
National Provider Identifier
1578659652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD00020436
- Practice address
- 34503 9TH Ave South
#220
Federal Way, WA 98003 - Phone
- (253) 927-3243
- Fax
- (253) 627-0855
- NPI assigned
- Oct 5, 2006
- Last updated
- Sep 21, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD00020436 | WA | Primary |
Addresses
Primary practice location
34503 9TH Ave South
#220
Federal Way, WA 98003
Mailing address
316 Martin Luther King Jr Way
#212
Tacoma, WA 98405
Phone (253) 383-5777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1029891 | Medicaid | WA |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00020436 | WA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348185600000",
"number": "1578659652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "316 MARTIN LUTHER KING JR WAY",
"address_2": "#212",
"city": "TACOMA",
"state": "WA",
"postal_code": "98405",
"telephone_number": "253-383-5777",
"fax_number": "253-627-0855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34503 9TH AVE SOUTH",
"address_2": "#220",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "98003",
"telephone_number": "253-927-3243",
"fax_number": "253-627-0855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORY",
"first_name": "RICHARD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-05",
"last_updated": "2012-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WA",
"license": "MD00020436",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1029891",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Federal Way, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.