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DR. MANUEL J LA ROSA DDS
NPI 1669512661
Dentist - Oral and Maxillofacial Surgery in Tacoma, WA

Active since February 07, 2007Opted out of Medicare · through Aug 10, 2026
1628 S MILDRED ST, SUITE 210, TACOMA, WA 98465(253) 564-1000(253) 564-0102 Get Directions Write a Review

NPPES record last updated: May 9, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Manuel J La Rosa Dds NPPES

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

DR. MANUEL J LA ROSA DDS (NPI 1669512661) is an individual oral and maxillofacial surgery provider in Tacoma, Washington, licensed in Washington (DE00008413) and active in the NPI registry since February 2007. He has opted out of Medicare through August 10, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1669512661
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. MANUEL J LA ROSACredential: DDS
Location Address1628 S MILDRED ST, SUITE 210Tacoma, WA 98465-1627
Mailing Address1628 S Mildred St, Suite 210Tacoma, WA 98465-1627 · (253) 564-1000 · Fax (253) 564-0102
Phone(253) 564-1000
Fax(253) 564-0102
Sole ProprietorYes
Enumeration DateFebruary 7, 2007
Last NPPES UpdateMay 9, 2016
✔ NPI 1669512661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in WA · DE00008413
Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

1628 S MILDRED ST, Tacoma, WA 98465
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Other Names 1

Professional Name (2)Dr. Manuel La Rosa Dds

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Manuel J La Rosa Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 10, 2016 through August 10, 2026.

Opt-Out Effective DateAugust 10, 2016
Opt-Out In Effect ThroughAugust 10, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98465 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BAER AND NARTEA, DDS, PLLC
Dentist (General Practice)
1628 S MILDRED ST, SUITE 206
TACOMA, WA 98465
Pierce County (253) 460-1800
DR. RANDOLPH J. NARTEA DDS
Dentist (General Practice)
1628 S MILDRED ST, SUITE 206
TACOMA, WA 98465
Pierce County (253) 460-1800
WEST TACOMA SURGERY CENTER, LLC
Clinic/Center (Ambulatory Surgical)
1628 S MILDRED ST, SUITE 110
TACOMA, WA 98465
Pierce County (253) 564-2009
THEODORE M. BAER DDS
Dentist (General Practice)
1628 S MILDRED ST, SUITE 206
TACOMA, WA 98465
Pierce County (253) 460-1800
ZHIYU WANG M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1628 S MILDRED ST, STE 104
TACOMA, WA 98465
Pierce County (253) 565-6777
ADVANCED PAIN MEDICINE PHYSICIANS, PLLC
Specialist
1628 S MILDRED ST, SUITE 105
TACOMA, WA 98465
Pierce County (253) 564-2009
SOUND ORAL & MAXILLOFACIAL SURGERY
Dentist (Oral and Maxillofacial Surgery)
1628 S MILDRED ST, SUITE 210
TACOMA, WA 98465
Pierce County (253) 564-1000
DR. ESTHER E. MIN D.D.S.
Dentist (General Practice)
1628 S MILDRED ST, SUITE 201
TACOMA, WA 98465
Pierce County (253) 566-0900

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 Manuel La Rosa's NPI number?

The NPI number for Manuel La Rosa is 1669512661. It was assigned to this individual provider in the NPPES registry on February 7, 2007. The provider is also known as Dr. Manuel La Rosa Dds.

Where is Manuel La Rosa located?

Manuel La Rosa practices at 1628 S Mildred St Suite 210, Tacoma, WA 98465. The listed phone number is (253) 564-1000.

What is Manuel La Rosa's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Manuel La Rosa enrolled in Medicare?

No. Manuel La Rosa has opted out of Medicare through August 10, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Manuel La Rosa was last updated on May 9, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.