Family Dentistry at Hawks Prairie

Primary specialty

DentistTaxonomy code 122300000X

License

WA00009847 Issued in WA

Legal business name

FAMILY DENTISTRY AT HAWKS PRAIRIE

Practice address

9321 Martin Way E.
Suite 101
Lacey, WA 98516

Phone

(360) 456-1000

Fax

(360) 456-3515

NPI assigned

Sep 13, 2007

Last updated

Sep 13, 2007By 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

Dr. Truyen O'Leary, D.D.SNPI 1710967641

Title

Dentist

Phone

(360) 456-1000

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Truyen Thi O'Leary, DDS

  • General Practice Dentistry
  • Tacoma, WA
  • NPI 1710967641
  NPD (past) Authorized official
• Mark Douglas Morrison, DDS

  • Dentist
  • Lacey, WA
  • NPI 1386290641
  NPD (past)

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189641600000",
    "number": "1588859425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9321 MARTIN WAY E.",
            "address_2": "SUITE 101",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "98516",
            "telephone_number": "360-456-1000",
            "fax_number": "360-456-3515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9321 MARTIN WAY E.",
            "address_2": "SUITE 101",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "98516",
            "telephone_number": "360-456-1000",
            "fax_number": "360-456-3515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY DENTISTRY AT HAWKS PRAIRIE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-13",
        "last_updated": "2007-09-13",
        "status": "A",
        "authorized_official_last_name": "O'LEARY",
        "authorized_official_first_name": "TRUYEN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "360-456-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "WA00009847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Lacey, WA
• Providers in Lacey, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2007; 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.