Steven P Marinkovich DDS

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

DE00004767 Issued in WA

Legal business name

STEVEN P MARINKOVICH DDS

Practice address

5225 Tacoma Mall Blvd
Suite E-104
Tacoma, WA 98409-7018

Phone

(253) 474-3223

Fax

(253) 473-6762

NPI assigned

Sep 17, 2012

Organization subpart

No

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

Authorized official

Name

Steven P Marinkovich, DDS, ABDSMNPI 1245348366

Title

Owner/Doctor

Phone

(253) 474-3223

Specialties & licenses 2

Addresses

Other names 1

• Evergreen Dental Center Other name

Locations

Practitioners 1

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

• Steven Peter Marinkovich, DDS

  • Dentist
  • Tacoma, WA
  • NPI 1245348366
  NPD (past) Authorized official

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

{
    "created_epoch": "1347840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392336000000",
    "number": "1629328638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5225 TACOMA MALL BLVD",
            "address_2": "SUITE E-104",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984097018",
            "telephone_number": "253-474-3223",
            "fax_number": "253-473-6762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5225 TACOMA MALL BLVD",
            "address_2": "SUITE E-104",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984097018",
            "telephone_number": "253-474-3223",
            "fax_number": "253-473-6762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN P MARINKOVICH DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-17",
        "last_updated": "2014-02-14",
        "status": "A",
        "authorized_official_last_name": "MARINKOVICH",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "253-474-3223",
        "authorized_official_credential": "DDS, ABDSM"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "WA",
            "license": "DE00004767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evergreen Dental Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kimberly Ida Sterling, RDH
• Troy J Stettler, PSYD
• Laura Steuble, D.O.
• Wolfgang Theodore Steudel, M.D.
• Steve L. Franks, M.a., L.M.F.T., PLLC
• Steven R Maynard, MD, PLLC
• Aaron John Stevens
• Bobby Anthony Stevens, D.O.
• Brittney Nicole Stevens
• Christopher Kantola Stevens

• Customized Equipment (DME) in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Customized Equipment (DME) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2014; 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.