NPIMap

Organization Active NPI

Mark C Paxton, D.D.S, P.S

  • Oral and Maxillofacial Surgery (Dentist)
  • Spokane Valley, WA
National Provider Identifier
1023409877
Registry record updated Feb 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
D5470 Issued in WA
Legal business name
MARK C PAXTON, D.D.S, P.S
Practice address
12109 E Broadway Ave
BLDG C
Spokane Valley, WA 99206-6133
Phone
(509) 893-3635
Fax
(509) 926-2833
NPI assigned
Feb 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2015

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

Authorized official

Name
Mrs. Renee Kristen Bancroft
Title
Administrative Manager
Phone
50989393635

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X D5470 WA Primary

Addresses

Primary practice location

12109 E Broadway Ave
BLDG C
Spokane Valley, WA 99206-6133

Mailing address

12109 E Broadway Ave
BLDG C
Spokane Valley, WA 99206-6133
Phone (509) 893-3635

Other names 1

  • Spokane Oral and Maxillofacial Surgery Other name

National Provider Directory

National Provider Directory
Tax ID family
Mark C Paxton DDS PS2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1424044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424044800000",
    "number": "1023409877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12109 E BROADWAY AVE",
            "address_2": "BLDG C",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992066133",
            "telephone_number": "509-893-3635",
            "fax_number": "509-926-2833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12109 E BROADWAY AVE",
            "address_2": "BLDG C",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992066133",
            "telephone_number": "509-893-3635",
            "fax_number": "509-926-2833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK C PAXTON, D.D.S, P.S",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-16",
        "last_updated": "2015-02-16",
        "status": "A",
        "authorized_official_last_name": "BANCROFT",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "KRISTEN",
        "authorized_official_title_or_position": "ADMINISTRATIVE MANAGER",
        "authorized_official_telephone_number": "50989393635",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "WA",
            "license": "D5470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spokane Oral and Maxillofacial Surgery",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Spokane Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2015; 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.