Individual provider Active NPI

Larry Steve Tuley, D.D.S.

  • General Practice Dentistry
  • Tacoma, WA
National Provider Identifier
1831253608
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE00004042 Issued in WA
Practice address
2520 N Alder St
Tacoma, WA 98406-6632
Phone
(253) 572-6670
Fax
(253) 572-9982
NPI assigned
Dec 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DE00004042 WA Primary

Addresses

Primary practice location

2520 N Alder St
Tacoma, WA 98406-6632

Mailing address

2520 N Alder St
Tacoma, WA 98406-6632
Phone (253) 572-6670

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

LicenseStateTypeSpecialty
DE00004042WAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831253608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 N ALDER ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984066632",
            "telephone_number": "253-572-6670",
            "fax_number": "253-572-9982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 N ALDER ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984066632",
            "telephone_number": "253-572-6670",
            "fax_number": "253-572-9982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TULEY",
        "first_name": "LARRY",
        "middle_name": "STEVE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00004042",
            "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 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.

Verify at the official NPI Registry.