TULALIP TRIBES OF WASHINGTON (NPI# 1447530399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447530399 |
| Entity Type | Organization |
| Organization Name | TULALIP TRIBES OF WASHINGTON |
| Other Organization Name | TULALIP TRIBES DENTAL CLINIC |
| Practice Address |
7520 Totem Beach Rd Tulalip WA 98271 |
| Mailing Address |
6406 Marine Dr Ste A Tulalip WA 98271 |
| Practice Telephone | 3607164511 |
| Practice Fax Number | 3607165789 |
| Mailing Telephone | 3607165800 |
| Mailing Fax Number | 3607165789 |
| Enumeration Date | 2011-08-24 |
| Last Update Date | 2019-04-03 |
| Authorized Official Name | NORMA RAZOTE (MANAGING DIRECTOR OF HEALTH SERVICE) |
| Authorized Official Telephone | 3607164142 |
| Is Organization Subpart | Y |
| Parent Organization Name | TULALIP TRIBES OF WA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | DE00007477 | WA | Dental Providers |
| N | 122300000X | Dentist | DE60104988 | WA | Dental Providers |
| Y | 122300000X | Dentist | DE00010342 | WA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2014972 | 05 |
| Other Name | Type Code |
|---|---|
| Tulalip Dental Clinic | Doing Business As Name - Organization |
| Tulalip Tribes Dental Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831325687 | Tulalip Tribes of Washington | Community/Behavioral Health | 4033 76th Place Nw, Tulalip, WA 98271 | 2009-06-08 |
| 1770531501 | Tulalip Tribes of Washington | Psychiatry & Neurology | 7520 Totem Beach Rd, Tulalip, WA 98271 | 2006-05-04 |
| 1013138924 | Tulalip Tribes of Washington | Counselor | 2821 Mission Hill Rd, Tulalip, WA 98271 | 2007-05-01 |
| 1063502946 | Tulalip Tribes of Washington | Counselor | 2821 Mission Hill Rd, Tulalip, WA 98271 | 2006-10-13 |
| Street Address |
7520 TOTEM BEACH RD |
| City | TULALIP |
| State | WA |
| Zip Code | 98271 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770531501 | Tulalip Tribes of Washington | Psychiatry & Neurology | 7520 Totem Beach Rd, Tulalip, WA 98271 | 2006-05-04 |
| 1477194421 | Vicki Lee Giacoman | Dental Assistant | 7520 Totem Beach Rd, Tulalip, WA 98271-6160 | 2019-10-01 |
| 1730747544 | Bibianna Ancheta | Massage Therapist | 7520 Totem Beach Rd, Tulalip, WA 98271-6160 | 2019-06-05 |
| 1023500386 | Miguel Antonio Arteaga | Registered Nurse | 7520 Totem Beach Rd, Tulalip, WA 98271-6160 | 2018-06-03 |
| 1306361746 | Preet Kamal | Nurse Practitioner | 7520 Totem Beach Rd, Tulalip, WA 98271-6160 | 2017-08-07 |
| 1952840290 | Susan Lynn Adams | Dietitian, Registered | 7520 Totem Beach Rd, Tulalip, WA 98271-6160 | 2017-02-20 |
| 1770021677 | Andrew Lee Morris | Nurse Practitioner | 7520 Totem Beach Rd, Tulalip, WA 98271 | 2017-02-10 |
| 1255722484 | Julie J Mann | Nurse Practitioner | 7520 Totem Beach Rd, Tulalip, WA 98271-6160 | 2015-02-10 |
| 1184024747 | Kristin Mellein | Registered Nurse | 7520 Totem Beach Rd, Tulalip, WA 98271-6160 | 2014-09-01 |
| 1699186023 | Kari Baggarley | Massage Therapist | 7520 Totem Beach Rd, Tulalip, WA 98271-6160 | 2014-05-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174155345 | Kaiser Foundation Health Plan of Washington | Pharmacy | 2335 172nd Street Ne, Marysville, WA 98271 | 2020-02-06 |
| 1124511126 | Roger Lucas, P.s. | Dentist | 3806 116th St. Ne, Marysville, WA 98271 | 2018-06-13 |
| 1679020150 | Vest Seattle, LLC | Psychiatric Hospital | 3955 156th St, Marysville, WA 98271 | 2016-09-01 |
| 1790141828 | Washington Dental Corporation, PC | Dentist | 17103 28th Dr. Ne, Suite 104, Marysville, WA 98271 | 2016-01-05 |
| 1376932533 | Mindy Wiese | Counselor | 2321 Marine Dr. Ne, Marysville, WA 98271 | 2015-01-12 |
| 1609276260 | Sara Julsrud | Counselor | 2828 Mission Hill Road, Tulalip, WA 98271 | 2014-09-01 |
| 1710395355 | Sandra Breaux | Pharmacist | 8924 Quil Ceda Blvd, Tulalip, WA 98271 | 2014-07-28 |
| 1245665207 | Delores Helen Dusterhoft | Registered Nurse | 4421 122nd Pl Ne, Marysville, WA 98271 | 2013-09-10 |
| 1295079390 | Santi Wibawantini | Marriage & Family Therapist | 2321 Marine Dr Ne, Tulalip, WA 98271 | 2012-11-15 |
| 1558690586 | Stephen Lee | Pharmacist | 8825 34th Avenue Ne, Suite A, Tulalip, WA 98271 | 2009-12-22 |
| Find all providers in zip 98271 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831404466 | Quil Ceda Family Dental | Dentist | 8825 34th Ave Ne Ste M, Tulalip, WA 98271-8085 | 2010-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851991319 | Ashley Lynn Wildhaber | Dentist | 111 Tumwater Blvd Se # 301, Tumwater, WA 98501-6400 | 2020-10-26 |
| 1124627757 | Eric Kun Kim | Dentist | 7160 Burden Blvd Ste 102, Pasco, WA 99301-4469 | 2020-10-24 |
| 1174121966 | Brandon C Hahn | Dentist | 6574 153rd Ave Se, Bellevue, WA 98006-5424 | 2020-10-13 |
| 1144828237 | William Garcia | Dentist | 1214 Sw Scotton Way Ste 101, Battle Ground, WA 98604-2715 | 2020-10-12 |
| 1568069391 | Neha Agarwal | Dentist | 13605 Ne 10th Pl # 8-101, Bellevue, WA 98005-2743 | 2020-10-05 |
| 1134736028 | Ibraheem M Al Naqshabandy | Dentist | 4747 30th Ave Ne Apt K174, Seattle, WA 98105-4032 | 2020-09-25 |
| 1598371866 | Maryam Tabarestani | Dentist | 24325 7th Pl W, Bothell, WA 98021-8525 | 2020-09-21 |
| 1922614890 | Vicky Herrera | Dentist | 10720 5th Ave Ne Apt 605, Seattle, WA 98125-7258 | 2020-09-16 |
| 1407461825 | Jangsu Kiyoshi | Dentist | 3006 Mahogany St Ne, Lacey, WA 98516-5589 | 2020-09-11 |
| 1407461270 | Crisafulli Dental | Dentist | 18920 Bothell Way Ne Ste 200, Bothell, WA 98011-1981 | 2020-09-09 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on TULALIP TRIBES OF WASHINGTON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.