Active NPI
Albert Roy Bird, D.D.S.
- General Practice Dentistry
- Tacoma, WA
National Provider Identifier
1750303707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 4601
- Practice address
- 4707 S Junett St
Suite a
Tacoma, WA 98409-6480 - Phone
- (253) 475-8934
- Fax
- (253) 472-0402
- NPI assigned
- Jul 25, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4601 | WA | Primary |
Addresses
Primary practice location
4707 S Junett St
Suite a
Tacoma, WA 98409-6480
Mailing address
4707 S Junett St
Suite a
Tacoma, WA 98409-6480
Phone (253) 475-8934
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160628001233 | WA | Order and Referring Only - Dentist | 1658662333 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Zachary a Bird DMD PLLC. | General Practice | Past | Accepting new patients |
| Albert R. Bird DDS PS | General Practice | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Bird Family Dentistry
- General Practice Dentistry
- Tacoma, WA
- NPI 1902134307
-
dba Bird Family Dentistry
- General Practice Dentistry
- Tacoma, WA
- NPI 1326709270
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1750303707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4707 S JUNETT ST",
"address_2": "SUITE A",
"city": "TACOMA",
"state": "WA",
"postal_code": "984096480",
"telephone_number": "253-475-8934",
"fax_number": "253-472-0402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4707 S JUNETT ST",
"address_2": "SUITE A",
"city": "TACOMA",
"state": "WA",
"postal_code": "984096480",
"telephone_number": "253-475-8934",
"fax_number": "253-472-0402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIRD",
"first_name": "ALBERT",
"middle_name": "ROY",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WA",
"license": "4601",
"primary": true
}
],
"identifiers": [],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.