NPIMap

Organization Active NPI

Lindquist Dental Clinic for Children

  • Dental Clinic/Center
  • Tacoma, WA
National Provider Identifier
1962953521
Registry record updated Oct 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DE60677357 Issued in WA
Legal business name
LINDQUIST DENTAL CLINIC FOR CHILDREN
Practice address
130 131St Street South
Tacoma, WA 98444
Phone
(253) 539-7445
NPI assigned
Oct 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2016

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

Authorized official

Name
Michelle Galvez
Title
Director of Clinic Operations / HR
Phone
(253) 830-2433

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DE60677357 WA Primary

Addresses

Primary practice location

130 131St Street South
Tacoma, WA 98444

Mailing address

17713 89TH Avenue East
Puyallup, WA 98375

National Provider Directory

National Provider Directory
Tax ID family
Carl E Lindquist School Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1476835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476835200000",
    "number": "1962953521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17713 89TH AVENUE EAST",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "98375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 131ST STREET SOUTH",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98444",
            "telephone_number": "253-539-7445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDQUIST DENTAL CLINIC FOR CHILDREN",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-19",
        "last_updated": "2016-10-19",
        "status": "A",
        "authorized_official_last_name": "GALVEZ",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "DIRECTOR OF CLINIC OPERATIONS / HR",
        "authorized_official_telephone_number": "253-830-2433"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "DE60677357",
            "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 Oct 19, 2016; 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.