MANUEL LA ROSA DDS PS (NPI# 1861604415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861604415 |
| Entity Type | Organization |
| Organization Name | MANUEL LA ROSA DDS PS |
| Other Organization Name | SOUND ORAL AND MAXILLOFACIAL SURGERY |
| 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 | 2007-05-04 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. MANUEL J LA ROSA-CRAIG (PRESIDENT) |
| Authorized Official Telephone | 2535641000 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
DE8413 | WA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Sound Oral and Maxillofacial Surgery | Doing Business As Name - Organization |
| 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 |
| 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 |
| 1093831745 | Randolph J. Nartea | 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 | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558926055 | Doctors Crane Cramer Pllc | Clinic/Center | 2215 N 30th St Ste B, Tacoma, WA 98403-3350 | 2019-05-09 |
| 1538545637 | Roozbeh Khosravi | Clinic/Center | 3555 Mckinley Ave, Tacoma, WA 98404-2162 | 2015-07-31 |
| 1972918399 | Tacoma Dental and Implant Center Ps | Clinic/Center | 4704 South Oakes St #103, Tacoma, WA 98409 | 2014-06-24 |
| 1770809832 | Everlast Family Dental Clinic | Clinic/Center | 1212 S 11th St Ste 47, Tacoma, WA 98405-4021 | 2010-04-14 |
| 1528212354 | Alan F. Altman, Dds, PC | Clinic/Center | 2302 S Union Ave Ste A6, Tacoma, WA 98405-1332 | 2008-11-06 |
| 1609099464 | Mostafa Norooz, D.d.s., P.s. | Clinic/Center | 314 M. L. King Way, Suite #206, Tacoma, WA 98405 | 2007-04-10 |
| 1750409827 | Olympic Dental & Denture Center,llc | Clinic/Center | 3720 6th Ave Ste A, Tacoma, WA 98406-4938 | 2007-03-27 |
| 1578503157 | John C. Winskill, D.d.s., P.s. | Clinic/Center | 2215 N 30th St, Suit #104, Tacoma, WA 98403 | 2006-06-08 |
| 1033723366 | Community Health Care | Clinic/Center | 3811 E Arlington Dr Rm 117, Tacoma, WA 98404-4613 | 2020-09-03 |
| 1417506049 | David R Hannula Dds Ps | Clinic/Center | 4146 6th Ave, Tacoma, WA 98406-4013 | 2019-09-06 |
| 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.