Organization Active NPI

The Kidds Place, Dentistry for Children, P.S.

  • General Practice Dentistry
  • Spokane, WA
National Provider Identifier
1043394828
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE00006525 Issued in WA
Legal business name
THE KIDDS PLACE, DENTISTRY FOR CHILDREN, P.S.
Practice address
506 E Hastings Rd
Suite B
Spokane, WA 99218-1900
Phone
(509) 252-4746
Fax
(509) 789-1640
NPI assigned
Oct 25, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Jared D. Evans, D.M.D.
Title
President
Phone
(509) 252-4746

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DE00006525 WA Primary
Pediatric Dentistry 1223P0221X DE00010191 WA

Addresses

Primary practice location

506 E Hastings Rd
Suite B
Spokane, WA 99218-1900

Mailing address

506 E Hastings Rd
Suite B
Spokane, WA 99218-1900
Phone (509) 252-4746

Other identifiers 1

IdentifierTypeStateIssuer
5010848MedicaidWA

National Provider Directory

National Provider Directory

Locations

506 E Hastings Rd
#B
Spokane, WA 99218
Phone (509) 252-4746

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": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1043394828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 E HASTINGS RD",
            "address_2": "SUITE B",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992181900",
            "telephone_number": "509-252-4746",
            "fax_number": "509-789-1640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 E HASTINGS RD",
            "address_2": "SUITE B",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992181900",
            "telephone_number": "509-252-4746",
            "fax_number": "509-789-1640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE KIDDS PLACE, DENTISTRY FOR CHILDREN, P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "JARED",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "509-252-4746",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00006525",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WA",
            "license": "DE00010191",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5010848",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Sep 11, 2025; 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.