NPIMap

Organization Active NPI

Albert R. Bird DDS PS

  • General Practice Dentistry
  • Tacoma, WA
National Provider Identifier
1902134307
Registry record updated Nov 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ALBERT R. BIRD DDS PS
Practice address
4707 S Junett St
Suite a
Tacoma, WA 98409-6480
Phone
(253) 475-8934
Fax
(253) 472-0402
NPI assigned
Nov 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2009

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

Authorized official

Name
Mrs. Adrianne B. Bird
Title
Administrative Assistant
Phone
(253) 475-8934

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

4707 S Junett St
Suite a
Tacoma, WA 98409-6480

Mailing address

4707 S Junett St
Suite a
Tacoma, WA 98409-6480
Phone (253) 475-8934

Other identifiers 1

IdentifierTypeStateIssuer
5399902MedicaidWA

Other names 1

  • Bird Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1258934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258934400000",
    "number": "1902134307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4707 S JUNETT ST",
            "address_2": "SUITE A",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984096480",
            "telephone_number": "253-475-8934",
            "fax_number": "253-472-0402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4707 S JUNETT ST",
            "address_2": "SUITE A",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984096480",
            "telephone_number": "253-475-8934",
            "fax_number": "253-472-0402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBERT R. BIRD DDS PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-23",
        "last_updated": "2009-11-23",
        "status": "A",
        "authorized_official_last_name": "BIRD",
        "authorized_official_first_name": "ADRIANNE",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "253-475-8934",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5399902",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bird Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 23, 2009; 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.