Ronald J Tracy DDS, PS

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

4141 Issued in WA

Legal business name

RONALD J TRACY DDS, PS

Practice address

1006 Fryar Ave Ste B
Sumner, WA 98390-1501

Phone

(253) 863-2995

Fax

(253) 863-3821

NPI assigned

Apr 15, 2008

Last updated

Apr 15, 2008By 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. Ronald John Tracy, DDSNPI 1508973454

Title

President

Phone

(253) 863-2995

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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.

• Ronald John Tracy, DDS

  • General Practice Dentistry
  • Sumner, WA
  • NPI 1508973454
  Authorized official Same address or phone

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

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208217600000",
    "number": "1700050325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1006 FRYAR AVE STE B",
            "city": "SUMNER",
            "state": "WA",
            "postal_code": "983901501",
            "telephone_number": "253-863-2995",
            "fax_number": "253-863-3821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 FRYAR AVE STE B",
            "city": "SUMNER",
            "state": "WA",
            "postal_code": "983901501",
            "telephone_number": "253-863-2995",
            "fax_number": "253-863-3821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD J TRACY DDS, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-15",
        "last_updated": "2008-04-15",
        "status": "A",
        "authorized_official_last_name": "TRACY",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "253-863-2995",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WA",
            "license": "4141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5307202",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Rolf M. Edlund, DDS, PS
• Shandra Lynn Ronning
• Rachael Elizabeth Ross, PT
• Royal Life Centers, LLC
• Royal Wa Sumner LLC
• Camille Saunders, MA, LMFTA

• Clinic/Center in Sumner, WA
• Providers in Sumner, WA by specialty
• Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; 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.