Active NPI
Thomas Landers Jr., MA 60234020
- Specialist
- Tacoma, WA
National Provider Identifier
1821376385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MA 60234020
- Practice address
- 5361 S Trafton St
Tacoma, WA 98409-7011 - Phone
- (253) 229-1507
- NPI assigned
- Aug 1, 2011
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | MA 60234020 | WA | Primary |
Addresses
Primary practice location
5361 S Trafton St
Tacoma, WA 98409-7011
Mailing address
5361 S Trafton St
Tacoma, WA 98409-7011
Phone (253) 229-1507
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA 60234020 | WA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312156800000",
"number": "1821376385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5361 S TRAFTON ST",
"city": "TACOMA",
"state": "WA",
"postal_code": "984097011",
"telephone_number": "253-229-1507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5361 S TRAFTON ST",
"city": "TACOMA",
"state": "WA",
"postal_code": "984097011",
"telephone_number": "253-229-1507"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANDERS",
"first_name": "THOMAS",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "MA 60234020",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-08-01",
"last_updated": "2011-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "MA 60234020",
"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 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.