Organization Active NPI

Gregory J. Plancich DDS Inc PS

  • General Practice Dentistry
  • Tacoma, WA
National Provider Identifier
1790839827
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6382 Issued in WA
Legal business name
GREGORY J. PLANCICH DDS INC PS
Practice address
2312 N 30TH St Ste 201
Tacoma, WA 98403-3356
Phone
(253) 272-7400
Fax
(253) 404-0687
NPI assigned
Jan 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Gregory John Plancich, DDSNPI 1467645747
Title
Dentist
Phone
(253) 272-7400

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 6382 WA Primary

Addresses

Primary practice location

2312 N 30TH St Ste 201
Tacoma, WA 98403-3356

Mailing address

2312 N 30TH St Ste 201
Tacoma, WA 98403-3356
Phone (253) 272-7400

National Provider Directory

National Provider Directory

Locations

2312 N 30th St
Ste 201
Tacoma, WA 98403
Phone (253) 272-7400

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": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790839827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2312 N 30TH ST STE 201",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984033356",
            "telephone_number": "253-272-7400",
            "fax_number": "253-404-0687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2312 N 30TH ST STE 201",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984033356",
            "telephone_number": "253-272-7400",
            "fax_number": "253-404-0687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY J. PLANCICH DDS INC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PLANCICH",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "253-272-7400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "6382",
            "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 Aug 22, 2020; 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.