Organization Active NPI

J. Dale Howard, M.D.

  • Prescribing (Medical) Psychologist
  • Tacoma, WA
National Provider Identifier
1720511256
Registry record updated Apr 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prescribing (Medical) PsychologistTaxonomy code 103TP0016X
License
MD00014521 Issued in WA
Legal business name
J. DALE HOWARD, M.D.
Practice address
1919 N Pearl St Ste C3
Tacoma, WA 98406-2490
Phone
(253) 759-4881
Fax
(253) 759-4692
NPI assigned
Apr 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2017

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

Authorized official

Name
Mr. James Dale Howard, MD.NPI 1538205679
Title
Owner
Phone
(253) 759-4881

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)CodeLicenseStatePrimary
Prescribing (Medical) PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TP0016X MD00014521 WA Primary

Addresses

Primary practice location

1919 N Pearl St Ste C3
Tacoma, WA 98406-2490

Mailing address

1919 N Pearl St Ste C3
Tacoma, WA 98406-2490
Phone (253) 759-4881

Other identifiers 1

IdentifierTypeStateIssuer
1000515OtherWAMEDICARE ID #1000515

National Provider Directory

National Provider Directory

Locations

1919 N Pearl St
Ste C3
Tacoma, WA 98406
Phone (253) 752-1860

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.

NPI Registry JSON

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

{
    "created_epoch": "1491868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491868800000",
    "number": "1720511256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 N PEARL ST STE C3",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984062490",
            "telephone_number": "253-759-4881",
            "fax_number": "253-759-4692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 N PEARL ST STE C3",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984062490",
            "telephone_number": "253-759-4881",
            "fax_number": "253-759-4692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. DALE HOWARD, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-11",
        "last_updated": "2017-04-11",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-759-4881",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD."
    },
    "taxonomies": [
        {
            "code": "103TP0016X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "WA",
            "license": "MD00014521",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID #1000515",
            "identifier": "1000515",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2017; 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.