Eric A Vetter, DDS MSD PS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DE00009070 Issued in WA

Practice address

4050 S 19TH St
Ste 102
Tacoma, WA 98405-1462

Phone

(253) 752-5511

Fax

(253) 756-5875

NPI assigned

Nov 9, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Feb 7, 2017 through Feb 7, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Eric a Vetter DDS MSD PS

  • Dental Clinic/Center
  • Tacoma, WA
  • NPI 1629266457
  NPD (past) Authorized official
• David R Steiner DDS MSD PS

  • Endodontics
  • Tacoma, WA
  • NPI 1881692556
  NPD (past)

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1790855542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4050 S 19TH ST",
            "address_2": "STE 102",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051462",
            "telephone_number": "253-752-5511",
            "fax_number": "253-756-5875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4050 S 19TH ST",
            "address_2": "STE 102",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051462",
            "telephone_number": "253-752-5511",
            "fax_number": "253-756-5875"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9245 Rainier Ave S",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981185569",
            "country_code": "US",
            "telephone_number": "206-461-6981",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VETTER",
        "first_name": "ERIC",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS MSD PS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00009070",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "WA",
            "license": "DE00009070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veterans Administration
• Veterans Adminstration
• Veterans Affairs
• Veterinary Specialty Group PLL
• David Paul Vetter, M.D.
• Carmela De Jesus Vibar, RN
• Vibrant Healthcare Staffing & Homecare
• Rachelle Vicencio, MD
• Alexandra Vick, CNA
• Victoria Pharmacy Inc (Mega Pharmacy)

• Endodontics in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Endodontics in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.