Puget Sound Dentues

Primary specialty

DenturistTaxonomy code 122400000X

License

DN00000135 Issued in WA

Legal business name

PUGET SOUND DENTUES

Doing business as

Parkland Denture Center

Practice address

601 N Puget Sound Ave
Tacoma, WA 98406-5425

Phone

(253) 752-8068

Fax

(253) 756-3219

NPI assigned

Jan 30, 2008

Organization subpart

No

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

Authorized official

Name

Joey E. Berlanga Jr., L.D.

Title

Owner/President

Phone

(253) 752-8068

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Parkland Denture Center Doing business as

Locations

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

{
    "created_epoch": "1201651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1578740759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 N PUGET SOUND AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984065425",
            "telephone_number": "253-752-8068",
            "fax_number": "253-756-3219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 N PUGET SOUND AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984065425",
            "telephone_number": "253-752-8068",
            "fax_number": "253-756-3219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUGET SOUND DENTUES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-30",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "BERLANGA",
        "authorized_official_first_name": "JOEY",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "253-752-8068",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "L.D."
    },
    "taxonomies": [
        {
            "code": "122400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Denturist",
            "state": "WA",
            "license": "DN00000135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5022694",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parkland Denture Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.