Organization Active NPI

Tyler Shoemaker,DMD,PS

Doing business as Pineview Dental

  • General Practice Dentistry
  • Spokane, WA
National Provider Identifier
1013191121
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE00009933 Issued in WA
Legal business name
TYLER SHOEMAKER,DMD,PS
Doing business as
Pineview Dental
Practice address
101 W Cascade Way
#101
Spokane, WA 99208-6000
Phone
(509) 468-0490
Fax
(509) 468-1814
NPI assigned
Dec 26, 2007
Last updated
Jun 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Barbara Stoyanac
Title
Office Manager
Phone
(509) 468-0490

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DE00009933 WA Primary

Addresses

Primary practice location

101 W Cascade Way
#101
Spokane, WA 99208-6000

Mailing address

101 W Cascade Way
#101
Spokane, WA 99208-6000
Phone (509) 468-0490

Other names 1

  • Pineview Dental Doing business as

National Provider Directory

National Provider Directory

Locations

101 W Cascade Way
Ste 101
Spokane, WA 99208
Phone (509) 468-0490

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1198627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1013191121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W CASCADE WAY",
            "address_2": "#101",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992086000",
            "telephone_number": "509-468-0490",
            "fax_number": "509-468-1814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W CASCADE WAY",
            "address_2": "#101",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992086000",
            "telephone_number": "509-468-0490",
            "fax_number": "509-468-1814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYLER SHOEMAKER,DMD,PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-26",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "STOYANAC",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "509-468-0490"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00009933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pineview Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.