Organization Active NPI

Bridget Reilly Sheahan DDS PLLC

Doing business as Dental Clinique

  • Dentist
  • Spokane, WA
National Provider Identifier
1053657049
Registry record updated Aug 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
00010579 Issued in WA
Legal business name
BRIDGET REILLY SHEAHAN DDS PLLC
Doing business as
Dental Clinique
Practice address
3144 E 29TH Ave
Spokane, WA 99223-4848
Phone
(509) 536-8888
Fax
(509) 536-8894
NPI assigned
Dec 18, 2012
Last updated
Aug 26, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2013

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

Authorized official

Name
Dr. Bridget Reilly Sheahan, DDS
Title
Member
Phone
(509) 536-8888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 00010579 WA Primary

Addresses

Primary practice location

3144 E 29TH Ave
Spokane, WA 99223-4848

Mailing address

3144 E 29TH Ave
Spokane, WA 99223-4848
Phone (509) 536-8888

Other names 1

  • Dental Clinique Doing business as

National Provider Directory

National Provider Directory

Locations

3144 E 29th Ave
Spokane, WA 99223
Phone (509) 534-5712

Practitioners & affiliated clinicians

Practitioners 2

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": "1355788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377475200000",
    "number": "1053657049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3144 E 29TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992234848",
            "telephone_number": "509-536-8888",
            "fax_number": "509-536-8894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3144 E 29TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992234848",
            "telephone_number": "509-536-8888",
            "fax_number": "509-536-8894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGET REILLY SHEAHAN DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-18",
        "last_updated": "2013-08-26",
        "status": "A",
        "authorized_official_last_name": "SHEAHAN",
        "authorized_official_first_name": "BRIDGET",
        "authorized_official_middle_name": "REILLY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "509-536-8888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "00010579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Clinique",
            "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 Aug 26, 2013; 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.