Organization Active NPI

Lori a Noga, DMD, PLLC

  • Dental Clinic/Center
  • Lacey, WA
National Provider Identifier
1629339353
Registry record updated May 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DE00011030 Issued in WA
Legal business name
LORI A NOGA, DMD, PLLC
Practice address
8050 Freedom LN NE
Suite C
Lacey, WA 98516-4747
Phone
(360) 529-9968
NPI assigned
May 29, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2012

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

Authorized official

Name
Dr. Lori A Noga, DMD
Title
Owner Dentist
Phone
(360) 529-9968

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DE00011030 WA Primary

Addresses

Primary practice location

8050 Freedom LN NE
Suite C
Lacey, WA 98516-4747

Mailing address

8050 Freedom LN NE
Suite C
Lacey, WA 98516-4747
Phone (360) 529-9968

Other names 1

  • Tranquility Dental Wellness Center Doing business as

National Provider Directory

National Provider Directory

Locations

8050 Freedom Ln NE
Ste C
Lacey, WA 98516
Phone (360) 339-4373

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": "1338249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338249600000",
    "number": "1629339353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8050 FREEDOM LN NE",
            "address_2": "SUITE C",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985164747",
            "telephone_number": "360-529-9968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8050 FREEDOM LN NE",
            "address_2": "SUITE C",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985164747",
            "telephone_number": "360-529-9968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORI A NOGA, DMD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-29",
        "last_updated": "2012-05-29",
        "status": "A",
        "authorized_official_last_name": "NOGA",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "360-529-9968",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "DE00011030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tranquility Dental Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lacey, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2012; 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.