DR. MANUEL J LA ROSA (NPI# 1669512661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669512661 |
| Entity Type | Individual |
| Full Name | DR. MANUEL J LA ROSA |
| Other Name | DR. MANUEL LA ROSA |
| Credential | DDS |
| Practice Address |
1628 S Mildred St Suite 210 Tacoma WA 98465-1627 |
| Practice Telephone | 2535641000 |
| Practice Fax Number | 2535640102 |
| Mailing Telephone | 2535641000 |
| Mailing Fax Number | 2535640102 |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2016-05-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
DE00008413 | WA | Dental Providers |
| Street Address |
1628 S MILDRED ST SUITE 210 |
| City | TACOMA |
| State | WA |
| Zip Code | 98465-1627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578567392 | Karl David Mccowen | Internal Medicine | 1628 S Mildred St, Ste 104, Tacoma, WA 98465-1628 | 2005-06-09 |
| 1588113062 | Pain Care Physicians Pllc | Pain Medicine | 1628 S Mildred St, Ste. 105, Tacoma, WA 98465-1627 | 2016-09-26 |
| 1740615749 | Donald Haldeman Baumer IIi | Nurse Practitioner | 1628 S Mildred St, Tacoma, WA 98465-1627 | 2013-09-09 |
| 1730526641 | Seattle Pain Center Medical Corporation | Pain Medicine | 1628 S Mildred St, Suite 105, Tacoma, WA 98465-1627 | 2013-05-31 |
| 1588998546 | Franciscan Medical Group | Internal Medicine | 1628 S Mildred St, #104, Tacoma, WA 98465-1627 | 2009-09-23 |
| 1073746103 | Tatyana F Tools | Nurse Practitioner | 1628 S Mildred St, Ste 105, Tacoma, WA 98465-1627 | 2009-08-24 |
| 1245473230 | Zhiyu Wang | Internal Medicine | 1628 S Mildred St, Ste 104, Tacoma, WA 98465-1627 | 2009-04-07 |
| 1861604415 | Manuel La Rosa Dds Ps | Clinic/Center | 1628 S Mildred St, Suite 210, Tacoma, WA 98465-1627 | 2007-05-04 |
| 1215058672 | Theodore M. Baer | Dentist | 1628 S Mildred St, Suite 206, Tacoma, WA 98465-1627 | 2007-04-03 |
| 1053437616 | Baer and Nartea, Dds, Pllc | Dentist | 1628 S Mildred St, Suite 206, Tacoma, WA 98465-1627 | 2007-03-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013378025 | Shauna Lea Irish | Occupational Therapist | 8446 S. 17th Street, Tacoma, WA 98465 | 2016-03-18 |
| 1538533567 | Katherine Elizabeth Fakih | Massage Therapist | 1002 S. Pearl St., Tacoma, WA 98465 | 2015-11-13 |
| 1992932669 | Sandra Christian | Registered Nurse | 1201 S. Proctor, Comprehensive Mental Health/pearl Street Center, Tacoma, WA 98465 | 2009-06-19 |
| 1629202627 | Priyan Perera | Internal Medicine | 815 S Vassault St, Tacoma, WA 98465 | 2009-05-06 |
| 1306089941 | Kristin A. Hummel-sauerwein | Counselor | Comprehensive Mental Health / Pearl Street Center, 1201 Proctor Street, Tacoma, WA 98465 | 2009-04-13 |
| 1891950630 | Allen Douglas Webb Jr. | Psychiatric Residential Treatment Facility | 815 S Pearl, Pearl Street Center, Tacoma, WA 98465 | 2008-07-22 |
| 1598964470 | Hardtke's House Calls, LLC | Nurse Practitioner | 1540 Ventura Dr, Tacoma, WA 98465 | 2007-07-12 |
| 1013054543 | Advanced Lifeline Services Inc | Respiratory Therapist, Certified | 630 South Pearl, Tacoma, WA 98465 | 2007-02-01 |
| 1508952680 | Mary Ann Woodruff | Pediatrics | 1628 South Mildred, #101, Tacoma, WA 98465 | 2006-10-05 |
| 1427573989 | Mamta Shankar | Pharmacist | 1850 S Mildred St, Tacoma, WA 98465 | 2017-08-06 |
| Find all providers in zip 98465 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225437619 | Tacoma Oral Surgery & Implants | Dentist | 1550 S Union Ave Ste 250, Tacoma, WA 98405-1946 | 2014-08-21 |
| 1366520207 | Andrew A. Vorono, D.d.s., PC | Dentist | 1950 S Cedar St Ste C, Tacoma, WA 98405-2315 | 2006-11-01 |
| 1083670780 | Mark David Carlson | Dentist | 1550 South Union Avenue, Suite 250, Tacoma, WA 98405-1946 | 2006-04-22 |
| 1336148881 | Jerry Lee Hartman | Dentist | 217 Tulalip St Ne, Tacoma, WA 98422-1644 | 2005-07-18 |
| 1811994189 | Andrew Anthony Vorono | Dentist | 1950 S Cedar St, Ste C, Tacoma, WA 98405-2315 | 2005-07-01 |
| 1326464215 | Larry Kuxhausen | Dentist | 3866 S 74th St, Suite 200, Tacoma, WA 98409-1045 | 2014-03-15 |
| 1801039144 | Calley Christie | Dentist | 3602 6th Ave Ste 104, Tacoma, WA 98406-5450 | 2009-04-16 |
| 1417012436 | Jerre M Griffin | Dentist | 5401 6th Ave, Suite 201, Tacoma, WA 98406 | 2006-12-27 |
| 1396815221 | Sound Oral & Maxillofacial Surgery | Dentist | 1628 S Mildred St, Suite 210, Tacoma, WA 98465-1627 | 2006-11-08 |
| 1710967252 | Mariam Alexes Hamidi | Dentist | Bldg 9900, 2nd Floor, U.S. Army Dental Activity- Ft Lewis, Tacoma, WA 98431-0001 | 2006-01-19 |
| Find all providers in TACOMA | ||||
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| 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.