CGOMEZ DDS PS – NPI #1386582112
Clinic/Center

CGOMEZ DDS PS is an AHC clinic located in TACOMA, WA. NPPES recently assigned the NPI number 1386582112 to CGOMEZ DDS PS on March 23, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CGOMEZ DDS PS below.

NPI Profile for
CGOMEZ DDS PS

NPI Number
1386582112
Enumeration Date

(about 2 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CGOMEZ DDS PS
Primary location
4042 S PINE ST
TACOMA, WA 98409-5612
Phone: (253) 759-9291 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JULIDANG CHUE-GOMEZ
OWNER
Phone: (253) 759-9291
Updated
Certification Date
Mar 23, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.