NPIMap

Organization Active NPI

Moffitt Children'S Dentistry

  • Dentist
  • Spokane, WA
National Provider Identifier
1043766652
Registry record updated Sep 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7948 Issued in WA
Legal business name
MOFFITT CHILDREN'S DENTISTRY
Practice address
520 S Cowley St Ste 101
Spokane, WA 99202
Phone
(509) 838-1445
Fax
(509) 455-8955
NPI assigned
Sep 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2016

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

Authorized official

Name
Shelly J Steiling
Title
Office Manager
Phone
(509) 838-1445

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 7948 WA Primary

Addresses

Primary practice location

520 S Cowley St Ste 101
Spokane, WA 99202

Mailing address

520 S Cowley St Ste 101
Spokane, WA 99202-1315
Phone (509) 838-1445

National Provider Directory

National Provider Directory

Locations

520 S Cowley St
Ste 101
Spokane, WA 99202
Phone (509) 838-1445

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472688000000",
    "number": "1043766652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 S COWLEY ST STE 101",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992021315",
            "telephone_number": "509-838-1445",
            "fax_number": "509-455-8955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 S COWLEY ST STE 101",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "99202",
            "telephone_number": "509-838-1445",
            "fax_number": "509-455-8955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOFFITT CHILDREN'S DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A",
        "authorized_official_last_name": "STEILING",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "509-838-1445"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "7948",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 1, 2016; 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.