MR. RONALD JOHN TRACY (NPI# 1508973454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508973454 |
| Entity Type | Individual |
| Full Name | MR. RONALD JOHN TRACY |
| Credential | DDS |
| Practice Address |
1006 B Fryar Ave Sumner WA 98390 |
| Practice Telephone | 2538632995 |
| Practice Fax Number | 2538633821 |
| Mailing Telephone | 2538632995 |
| Mailing Fax Number | 2538633821 |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DE00004141 | WA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | WDS - DELTA | 3072 | 01 |
| WA | REGENCE | TR0266 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972937357 | Ronald Tracy | Dentist | 10315 19th Avenue Se Suite 110, Everett, WA 98208 | 2013-08-21 |
| 1629142732 | Ronald W Tracy | Dentist | 150 Worcester Court, Falmouth, MA 02540 | 2006-11-20 |
| Street Address |
1006 B FRYAR AVE |
| City | SUMNER |
| State | WA |
| Zip Code | 98390 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669996211 | Michael Johnson-money | Pharmacist | 20904 Highway-410, Bonney Lake, WA 98390 | 2017-07-26 |
| 1295150498 | Sound Associates Western Washington LLC | Hearing Instrument Specialist | 15324 Main St. E, Ste. B, Sumner, WA 98390 | 2014-02-25 |
| 1811330129 | Callie Leah Macleod | Student in an Organized Health Care Education/Training Program | 5805 Parker Rd, Sumner, WA 98390 | 2013-04-17 |
| 1699020388 | Alex George Wardle | Pharmacist | 20901 Highway 410, Bonney Lake, WA 98390 | 2012-07-18 |
| 1417102112 | Laura Christine Vandyk | Dentist | 1006 C Fryar Ave, Sumner, WA 98390 | 2008-11-21 |
| 1164631248 | Jeff Lee Sisco | Massage Therapist | 21157 State Route 410, Bonney Lake, WA 98390 | 2007-05-22 |
| 1215053764 | Assisted Living Concepts Inc | Assisted Living Facility | 5713 Parker Road, Sumner, WA 98390 | 2007-03-22 |
| 1518007350 | Julie Bush Webster | Marriage & Family Therapist | 920 Alder Avenue, Suite 203, Sumner, WA 98390 | 2007-02-08 |
| 1154478014 | Bonney Lake Optical, Inc | Durable Medical Equipment & Medical Supplies | 21221 Hwy 410, Bonney Lake, WA 98390 | 2007-01-04 |
| 1437248986 | Christopher John Nielsen | Dentist | 3106-e Sumner-tapps Hwy E, Sumner, WA 98390 | 2006-10-12 |
| Find all providers in zip 98390 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760793467 | Rainier Dental-sumner | Dentist | 15208 Main St E, Sumner, WA 98390-2638 | 2010-06-28 |
| 1225195225 | Stephanie Ann Beesecker | Dentist | 3185 140th St, Sumner, IA 50674-9587 | 2007-01-02 |
| 1437248986 | Christopher John Nielsen | Dentist | 3106-e Sumner-tapps Hwy E, Sumner, WA 98390 | 2006-10-12 |
| 1871687921 | April Loraine Ziegele | Dentist | 15324 Main St E, Suite A, Sumner, WA 98390-2698 | 2006-10-03 |
| 1679573596 | Timothy Andrew Sexton | Dentist | 119 N Carpenter St, Sumner, IA 50674-1433 | 2005-07-22 |
| 1134554926 | Belinda Le | Dentist | 15208 Main St E, Sumner, WA 98390-2638 | 2013-09-11 |
| 1467791483 | Brian A Eness Dds | Dentist | 119 N Carpenter St, Sumner, IA 50674-1433 | 2013-02-12 |
| 1992031512 | Nikolina Petrasevic Nielsen | Dentist | 1211 Main St, Sumner, WA 98390-1416 | 2009-11-02 |
| 1447583711 | Stephanie A. Beesecker, Dds PC | Dentist | 3185 140th St, Sumner, IA 50674-9587 | 2009-09-17 |
| 1538397682 | Brian A Eness | Dentist | 119 N Carpenter St, Sumner, IA 50674-1433 | 2009-06-28 |
| Find all providers in SUMNER | ||||
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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.