Active NPI
Lucas Austen Trerice, D.M.D.
- General Practice Dentistry
- Olympia, WA
National Provider Identifier
1831235522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DE 00010762
- Practice address
- 505 Washington St SE Apt 1
Olympia, WA 98501-9302 - Phone
- (702) 369-2499
- NPI assigned
- Jan 29, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DE 00010762 | WA | Primary |
Addresses
Primary practice location
505 Washington St SE Apt 1
Olympia, WA 98501-9302
Mailing address
505 Washington St SE Apt 1
Olympia, WA 98501-9302
Phone (702) 369-2499
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE 00010762 | WA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1831235522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 WASHINGTON ST SE APT 1",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985019302",
"telephone_number": "702-369-2499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 WASHINGTON ST SE APT 1",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985019302",
"telephone_number": "702-369-2499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRERICE",
"first_name": "LUCAS",
"middle_name": "AUSTEN",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WA",
"license": "DE 00010762",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Olympia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.