Active NPI
Tooth Fairies LLC
- Dental Hygienist
- Steilacoom, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- DH00001654
- Legal business name
- TOOTH FAIRIES LLC
- Practice address
- 146 Cormorant Dr
Steilacoom, WA 98388-1720 - Phone
- (253) 905-1692
- NPI assigned
- Jun 2, 2009
- Last updated
- Jun 2, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nancy C Alleman, RDH BS
- Title
- Ceo
- Phone
- (253) 905-1682
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | DH00001654 | WA | Primary |
Addresses
Primary practice location
146 Cormorant Dr
Steilacoom, WA 98388-1720
Mailing address
146 Cormorant Dr
Steilacoom, WA 98388-1720
Phone (253) 905-1692
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5902002 | Medicaid | WA |
National Provider Directory
National Provider Directory- Tax ID family
- The Tooth Fairies
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Dental Hygienist
- Sammamish, WA
- NPI 1205055035
Practitioners & affiliated clinicians
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.
-
- Dental Hygienist
- Steilacoom, WA
- NPI 1407072614
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243900800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1243900800000",
"number": "1720214976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "146 CORMORANT DR",
"city": "STEILACOOM",
"state": "WA",
"postal_code": "983881720",
"telephone_number": "253-905-1692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "146 CORMORANT DR",
"city": "STEILACOOM",
"state": "WA",
"postal_code": "983881720",
"telephone_number": "253-905-1692"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOOTH FAIRIES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-06-02",
"last_updated": "2009-06-02",
"status": "A",
"authorized_official_last_name": "ALLEMAN",
"authorized_official_first_name": "NANCY",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "253-905-1682",
"authorized_official_credential": "RDH BS"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "WA",
"license": "DH00001654",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5902002",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Steilacoom, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.