Individual provider Active NPI

Bryce Jeffrey Plancich, DDS

  • General Practice Dentistry
  • Lakewood, WA
National Provider Identifier
1861044232
Registry record updated Jul 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
60977337 Issued in WA
Practice address
5726 100TH St SW
Lakewood, WA 98499-2730
Phone
(253) 581-2777
NPI assigned
Jul 15, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2019

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 60977337 WA Primary

Addresses

Primary practice location

5726 100TH St SW
Lakewood, WA 98499-2730

Mailing address

8311 N 9TH St
Tacoma, WA 98406-8454

Other practice location 1

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

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
60977337WAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Plancich Dental, PLLC CurrentSince Mar 22, 2020 Accepting new patients

Locations

5726 100th St SW
Lakewood, WA 98499
Phone (253) 581-2777

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1563148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563148800000",
    "number": "1861044232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8311 N 9TH ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984068454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5726 100TH ST SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984992730",
            "telephone_number": "253-581-2777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2312 N 30th St",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984033356",
            "country_code": "US",
            "telephone_number": "253-272-7400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PLANCICH",
        "first_name": "BRYCE",
        "middle_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-15",
        "last_updated": "2019-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "60977337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2019; 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.