Active NPI
Loubna C Pla, DDS, MSD
- Endodontics
- Tacoma, WA
National Provider Identifier
1912101205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- DE60024673
- Practice address
- 4801 S 19TH St
Tacoma, WA 98405-1166 - Phone
- (253) 473-0101
- Fax
- (253) 473-6328
- NPI assigned
- Jun 12, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 9306 | MA | |
| Endodontics | 1223E0200X | DE60024673 | WA | Primary |
Addresses
Primary practice location
4801 S 19TH St
Tacoma, WA 98405-1166
Mailing address
4801 S 19TH St
Tacoma, WA 98405-1166
Phone (253) 473-0101
Other names 1
- Dr. Loubna Youssef Chehab
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective May 27, 2016 through May 27, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE60024673 | WA | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pla & Watts DDS MSD PLLC | Endodontics | Past | Accepting new patients |
| DRS West & West PS | Endodontics | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Endodontics
- Puyallup, WA
- NPI 1295282747
-
- Endodontics
- Tacoma, WA
- NPI 1508933953
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251763200000",
"number": "1912101205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4801 S 19TH ST",
"city": "TACOMA",
"state": "WA",
"postal_code": "984051166",
"telephone_number": "253-473-0101",
"fax_number": "253-473-6328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4801 S 19TH ST",
"city": "TACOMA",
"state": "WA",
"postal_code": "984051166",
"telephone_number": "253-473-0101",
"fax_number": "253-473-6328"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLA",
"first_name": "LOUBNA",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "DDS, MSD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-12",
"last_updated": "2009-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "MA",
"license": "9306",
"primary": false
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "WA",
"license": "DE60024673",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LOUBNA",
"last_name": "CHEHAB",
"middle_name": "YOUSSEF",
"prefix": "DR.",
"credential": "DDS, MSD",
"code": "5",
"type": "Other Name"
}
]
}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 Sep 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.