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Deactivated NPI 1336278084 Deactivated / Inactive NPI Male Practitioner

Dr. Simon C Yan , DDS

Dentist - General Practice • Tacoma, WA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Simon Yan has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 05, 2007
NPI Deactivation Date February 14, 2024
Total Practice Duration ~17 Years of Practice (2007 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Simon Yan, DDS was a registered Dentist - General Practice practicing in Tacoma, WA. Throughout an active medical career spanning 17 years, Dr. Yan provided care at the practice location at 2209 E 32ND ST until profile deactivation on 2024-02-14.

Practice Location & Contact Primary Location

Practice Address

2209 E 32nd St

Tacoma, WA 984044922

Telephone 2535930232
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Tacoma, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.3 Yrs
Regional Practice Density
146 Specialists

Practicing in Tacoma, WA (3345 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License WA DE00009964

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1043064983

Doctor of Medicine (M.D.)

Lauren Akers , ARNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1063595916

Advanced Registered Nurse Practitioner

Dr. Laura Steuble , DO

Student in an Organized Health Care Education/Training Program

NPI 1063892768

Doctor of Osteopathic Medicine (D.O.)

Hilary Baer

Family Medicine

NPI 1063900280
NPI 1083146856

Doctor of Medicine (M.D.)

Lezly Hughes , DIETITIAN

Case Manager/Care Coordinator

NPI 1083927719

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated February 14, 2024

Record deactivated on February 14, 2024

NPI Profile Active December 08, 2009

NPI status registered as active in NPPES database

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Updated Practice Location December 08, 2009

Registered at 2209 E 32ND ST, TACOMA, WA 984044922 (Tel: 2535930232)

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Updated Business Mailing Address December 08, 2009

Registered at 2209 E 32ND ST, TACOMA, WA 984044922

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Provider Name / Credentials Updated December 08, 2009

Recorded as SIMON YAN, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 08, 2009

Dentist (License #DE00009964 in WA)

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Initial NPI Registration & Enumeration March 05, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1336278084
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 05, 2007
Last Update: December 08, 2009
Deactivation Date: February 14, 2024

Mailing Address

2209 E 32nd St

Tacoma, WA 984044922

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.