Organization Active NPI

Tacoma Neuropathy Center PLLC

  • Family Medicine Physician
  • Tacoma, WA
National Provider Identifier
1871173690
Registry record updated Jun 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
TACOMA NEUROPATHY CENTER PLLC
Practice address
1720 S 72ND St Ste 103
Tacoma, WA 98408-1297
Phone
(253) 471-1287
NPI assigned
Apr 14, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2021

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

Authorized official

Name
Sean Leone
Title
Business Manager
Phone
(253) 471-1287

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1720 S 72ND St Ste 103
Tacoma, WA 98408-1297

Mailing address

1720 S 72ND St Ste 201
Tacoma, WA 98408-1299
Phone (253) 471-1287

National Provider Directory

National Provider Directory

Locations

1720 S 72nd St
Ste 103
Tacoma, WA 98408
Phone (253) 471-1287

NPI Registry JSON

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

{
    "created_epoch": "1618358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622678400000",
    "number": "1871173690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 S 72ND ST STE 201",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984081299",
            "telephone_number": "253-471-1287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 S 72ND ST STE 103",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984081297",
            "telephone_number": "253-471-1287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TACOMA NEUROPATHY CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-14",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "status": "A",
        "authorized_official_last_name": "LEONE",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "253-471-1287"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "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 Jun 3, 2021; 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.