Individual provider Active NPI

Anthony Guy Dire, D.D.S

  • General Practice Dentistry
  • Tukwila, WA
National Provider Identifier
1710044458
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3925 Issued in WA
Practice address
411 Strander Blvd
Suite 206
Tukwila, WA 98188-2935
Phone
(206) 575-1125
Fax
(206) 575-2825
NPI assigned
Jan 2, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 3925 WA Primary

Addresses

Primary practice location

411 Strander Blvd
Suite 206
Tukwila, WA 98188-2935

Mailing address

411 Strander Blvd
Suite 206
Tukwila, WA 98188-2935
Phone (206) 575-1125

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3925WAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Anthony Dire, D.D.S.,P.S. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710044458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 STRANDER BLVD",
            "address_2": "SUITE 206",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981882935",
            "telephone_number": "206-575-1125",
            "fax_number": "206-575-2825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 STRANDER BLVD",
            "address_2": "SUITE 206",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981882935",
            "telephone_number": "206-575-1125",
            "fax_number": "206-575-2825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIRE",
        "first_name": "ANTHONY",
        "middle_name": "GUY",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "3925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tukwila, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.