Tracy H Takenaka, DDS,MSD,PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

60023910 Issued in WA

Legal business name

TRACY H TAKENAKA, DDS,MSD,PLLC

Practice address

1200 Station Dr
Suite 180
Dupont, WA 98327-9804

Phone

(360) 915-7321

NPI assigned

Sep 24, 2010

Organization subpart

No

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

Authorized official

Name

Tracy Haruko Takenaka, DDS

Title

Member

Phone

(360) 742-9294

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1285286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285286400000",
    "number": "1639487663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 STATION DR",
            "address_2": "SUITE 180",
            "city": "DUPONT",
            "state": "WA",
            "postal_code": "983279804",
            "telephone_number": "360-915-7321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 STATION DR",
            "address_2": "SUITE 180",
            "city": "DUPONT",
            "state": "WA",
            "postal_code": "983279804",
            "telephone_number": "360-915-7321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRACY H TAKENAKA, DDS,MSD,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-24",
        "last_updated": "2010-09-24",
        "status": "A",
        "authorized_official_last_name": "TAKENAKA",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "HARUKO",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "360-742-9294",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WA",
            "license": "60023910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina J. Topinka, NCC
• Emily Marie Torres
• Ruth Toussegoue Seri
• Cameron Scot Townsen, LAT, MAT, ATC, CSCS
• Tracy H Takenaka DDS MSD PS
• Ashley Trujillo, CBT
• Brittany Turbyfill, RBT
• Travis Jacob Tuttle, DDS
• Tessa Unick
• Atyzha Upton

• Pediatric Dentistry in Dupont, WA
• Providers in Dupont, WA by specialty
• Pediatric Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2010; 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.