NPIMap

Organization Active NPI

Ashley S. Tercero, D.D.S., P.L.L.C.

  • Pediatric Dentistry
  • Yakima, WA
National Provider Identifier
1588110464
Registry record updated Aug 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
00011242 Issued in WA
Legal business name
ASHLEY S. TERCERO, D.D.S., P.L.L.C.
Doing business as
Yakima Pediatric Dentistry
Practice address
3909 Creekside Loop
Suite #140
Yakima, WA 98902-4880
Phone
(509) 834-2004
Fax
(509) 834-2007
NPI assigned
Aug 30, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2016

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

Authorized official

Name
Dr. Ashley Stormo Tercero, D.D.S.
Title
Pediatric Dentist/ Owner
Phone
(509) 834-2004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 00011242 WA Primary

Addresses

Primary practice location

3909 Creekside Loop
Suite #140
Yakima, WA 98902-4880

Mailing address

3909 Creekside Loop
Suite #140
Yakima, WA 98902-4880
Phone (509) 834-2004

Other names 1

  • Yakima Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

3909 Creekside Loop
Ste 140
Yakima, WA 98902
Phone (509) 834-2004

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1472515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472515200000",
    "number": "1588110464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3909 CREEKSIDE LOOP",
            "address_2": "SUITE #140",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989024880",
            "telephone_number": "509-834-2004",
            "fax_number": "509-834-2007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3909 CREEKSIDE LOOP",
            "address_2": "SUITE #140",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989024880",
            "telephone_number": "509-834-2004",
            "fax_number": "509-834-2007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHLEY S. TERCERO, D.D.S., P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-30",
        "last_updated": "2016-08-30",
        "status": "A",
        "authorized_official_last_name": "TERCERO",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "STORMO",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST/ OWNER",
        "authorized_official_telephone_number": "509-834-2004",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WA",
            "license": "00011242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yakima Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yakima, WA

Sources for this page

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