Organization Active NPI

Patra Alatsis DMD Ms PS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Tacoma, WA
National Provider Identifier
1760847347
Registry record updated Dec 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DE 60523093 Issued in WA
Legal business name
PATRA ALATSIS DMD MS PS
Practice address
4301 S Pine St Ste 231
Tacoma, WA 98409-7205
Phone
(253) 474-9473
Fax
(253) 474-6457
NPI assigned
Dec 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2015

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

Authorized official

Name
Patra V Alatsis, DMD, MS
Title
President
Phone
(253) 851-9473

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X DE 60523093 WA Primary

Addresses

Primary practice location

4301 S Pine St Ste 231
Tacoma, WA 98409-7205

Mailing address

4301 S Pine St Ste 231
Tacoma, WA 98409-7205
Phone (253) 474-9473

National Provider Directory

National Provider Directory
Tax ID family
Patra Alatsis DMD Ms PS2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4301 S Pine St
Ste 231
Tacoma, WA 98409
Phone (253) 474-9473

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1450828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450828800000",
    "number": "1760847347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 S PINE ST STE 231",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984097205",
            "telephone_number": "253-474-9473",
            "fax_number": "253-474-6457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 S PINE ST STE 231",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984097205",
            "telephone_number": "253-474-9473",
            "fax_number": "253-474-6457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRA ALATSIS DMD MS PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-23",
        "last_updated": "2015-12-23",
        "status": "A",
        "authorized_official_last_name": "ALATSIS",
        "authorized_official_first_name": "PATRA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "253-851-9473",
        "authorized_official_credential": "DMD, MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WA",
            "license": "DE 60523093",
            "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 Dec 23, 2015; 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.