Active NPI
Alan F Macks, DMD
- Dentist
- Tacoma, WA
National Provider Identifier
1922211200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 5728
- Practice address
- 5319 Tacoma Mall Blvd
Tacoma, WA 98409-7072 - Phone
- (253) 476-1030
- Fax
- (253) 476-1031
- NPI assigned
- May 7, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 5728 | WA | Primary |
Addresses
Primary practice location
5319 Tacoma Mall Blvd
Tacoma, WA 98409-7072
Mailing address
5319 Tacoma Mall Blvd.
Tacoma, WA 98409
Phone (253) 476-1030
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5728 | WA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frye & Webley PLLC | Past | Accepting new patients | |
| Alan F Macks | Dentist | 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.
-
- General Practice Dentistry
- Tacoma, WA
- NPI 1689512089
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1502150400000",
"number": "1922211200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5319 TACOMA MALL BLVD.",
"city": "TACOMA",
"state": "WA",
"postal_code": "98409",
"telephone_number": "253-476-1030",
"fax_number": "253-476-1031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5319 TACOMA MALL BLVD",
"city": "TACOMA",
"state": "WA",
"postal_code": "984097072",
"telephone_number": "253-476-1030",
"fax_number": "253-476-1031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACKS",
"first_name": "ALAN",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-07",
"last_updated": "2017-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "5728",
"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 Aug 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.