MEVADEE PIBULNIYOM
NPI 1013895598
Dentist - Prosthodontics in Tacoma, WA

Q: What is Mevadee Pibulniyom's NPI number?

The NPI number for Mevadee Pibulniyom is 1013895598. It was assigned to this individual provider in the NPPES registry on August 23, 2025.

Q: What is Mevadee Pibulniyom's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

Active since August 23, 2025

5005 MAIN ST STE 107, TACOMA, WA 98407(253) 262-0024 Get Directions Write a Review

NPPES record last updated: August 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mevadee Pibulniyom NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEVADEE PIBULNIYOM (NPI 1013895598) is an individual prosthodontics provider in Tacoma, Washington, licensed in Washington (61668744) and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1013895598

Entity TypeIndividual

Primary Taxonomy1223P0700X

Provider Legal NameMEVADEE PIBULNIYOM

Location Address5005 MAIN ST STE 107Tacoma, WA 98407-3177

Mailing Address5005 Main St Ste 107Tacoma, WA 98407-3177 · (253) 262-0024

Phone(253) 262-0024

Sole ProprietorYes

Enumeration DateAugust 23, 2025

NPPES CertifiedAugust 23, 2025

✔ NPI 1013895598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · ProsthodonticsDental Providers

Taxonomy Code1223P0700X

License✔ Licensed in WA · 61668744

Definition

That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.

5005 MAIN ST STE 107, Tacoma, WA 98407

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Combined Life, Humana, Premera Blue Cross Blue Shield of Alaska.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mevadee Pibulniyom's NPI number?

The NPI number for Mevadee Pibulniyom is 1013895598. It was assigned to this individual provider in the NPPES registry on August 23, 2025.

Where is Mevadee Pibulniyom located?

Mevadee Pibulniyom practices at 5005 Main St Ste 107, Tacoma, WA 98407. The listed phone number is (253) 262-0024.

What is Mevadee Pibulniyom's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

What insurance does Mevadee Pibulniyom accept?

Health plans from Florida Combined Life, Humana and Premera Blue Cross Blue Shield of Alaska list Mevadee Pibulniyom as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mevadee Pibulniyom was last updated on August 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.