Active NPI
Dental Services of Washington, Inc
- Denturist
- Tacoma, WA
National Provider Identifier
1942355979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Denturist
- Legal business name
- DENTAL SERVICES OF WASHINGTON, INC
- Practice address
- 10518 S Tacoma Way Ste B
Tacoma, WA 98499-5400 - Phone
- (253) 584-8840
- Fax
- (253) 584-8511
- NPI assigned
- Jan 23, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bruce Laverne Kizar, DPD
- Title
- President
- Phone
- (253) 584-8840
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | |||
| Denturist | 122400000X | Primary |
Addresses
Primary practice location
10518 S Tacoma Way Ste B
Tacoma, WA 98499-5400
Mailing address
10518 S Tacoma Way Ste B
Tacoma, WA 98499-5400
Phone (253) 584-8840
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5042619 | Medicaid | WA |
National Provider Directory
National Provider DirectoryLocations
10518 South Tacoma Way
Ste B
Tacoma, WA 98499
Phone (253) 584-8840
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Tacoma, WA
- NPI 1639224660
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1942355979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10518 S TACOMA WAY STE B",
"city": "TACOMA",
"state": "WA",
"postal_code": "984995400",
"telephone_number": "253-584-8840",
"fax_number": "253-584-8511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10518 S TACOMA WAY STE B",
"city": "TACOMA",
"state": "WA",
"postal_code": "984995400",
"telephone_number": "253-584-8840",
"fax_number": "253-584-8511"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DENTAL SERVICES OF WASHINGTON, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-23",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "KIZAR",
"authorized_official_first_name": "BRUCE",
"authorized_official_middle_name": "LAVERNE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "253-584-8840",
"authorized_official_credential": "DPD"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": false
},
{
"code": "122400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Denturist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5042619",
"state": "WA"
}
],
"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 Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.