NPIMap

Organization Active NPI

Keiko J Wada DMD

  • Dentist
  • Gig Harbor, WA
National Provider Identifier
1609094705
Registry record updated Jan 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE00006685 Issued in WA
Legal business name
KEIKO J WADA DMD
Practice address
7108 Pioneer Way Ste E
Gig Harbor, WA 98335-1178
Phone
(253) 858-8158
Fax
(253) 858-5029
NPI assigned
Apr 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2015

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

Authorized official

Name
Dr. Keiko Wada, D.M.D.NPI 1871744409
Title
President
Phone
(253) 858-8158

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DE00006685 WA Primary

Addresses

Primary practice location

7108 Pioneer Way Ste E
Gig Harbor, WA 98335-1178

Mailing address

7108 Pioneer Way Ste E
Gig Harbor, WA 98335-1178
Phone (253) 858-8158

National Provider Directory

National Provider Directory

Locations

7108 Pioneer Way
Ste E
Gig Harbor, WA 98335
Phone (253) 858-8158

Practitioners & affiliated clinicians

Practitioners 2

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": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420502400000",
    "number": "1609094705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7108 PIONEER WAY STE E",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351178",
            "telephone_number": "253-858-8158",
            "fax_number": "253-858-5029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7108 PIONEER WAY STE E",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351178",
            "telephone_number": "253-858-8158",
            "fax_number": "253-858-5029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEIKO J WADA DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2015-01-06",
        "status": "A",
        "authorized_official_last_name": "WADA",
        "authorized_official_first_name": "KEIKO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "253-858-8158",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00006685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gig Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2015; 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.