Tacoma Diagnostic Imaging Center, LLC

Primary specialty

Dental LaboratoryTaxonomy code 292200000X

Legal business name

TACOMA DIAGNOSTIC IMAGING CENTER, LLC

Practice address

6004 Westgate Blvd
Suite 210
Tacoma, WA 98406-2503

Phone

(253) 752-6630

Fax

(253) 752-1173

NPI assigned

Jan 29, 2014

Organization subpart

No

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

Authorized official

Name

Michael J. Giesy, D.M.D.NPI 1740280528

Title

Manager/Member

Phone

(253) 752-6630

Specialties & licenses 1

Addresses

Locations

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.

• Michael James Giesy, DMD

  • General Practice Dentistry
  • Tacoma, WA
  • NPI 1740280528
  NPD (past) Authorized official

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

{
    "created_epoch": "1390953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390953600000",
    "number": "1750704540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6004 WESTGATE BLVD",
            "address_2": "SUITE 210",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984062503",
            "telephone_number": "253-752-6630",
            "fax_number": "253-752-1173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6004 WESTGATE BLVD",
            "address_2": "SUITE 210",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984062503",
            "telephone_number": "253-752-6630",
            "fax_number": "253-752-1173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TACOMA DIAGNOSTIC IMAGING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-29",
        "last_updated": "2014-01-29",
        "status": "A",
        "authorized_official_last_name": "GIESY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "MANAGER/MEMBER",
        "authorized_official_telephone_number": "253-752-6630",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "292200000X",
            "taxonomy_group": "",
            "desc": "Dental Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tacoma Community College
• Tacoma Community House
• Tacoma Dental and Implant Center PS
• Tacoma Denture Clinic
• Tacoma Detoxification Center
• Tacoma Digestive Disease Center
• Tacoma East Asian Medicine LLC
• Tacoma East of Cascadia, LLC
• Tacoma Emergency Care Physicians, PLLC
• Tacoma Emergency Care Physicians, PLLC

• Dental Laboratory in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Dental Laboratory in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2014; 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.