Organization Active NPI

Associated Dentist

  • Dentist
  • Spokane, WA
National Provider Identifier
1073060026
Registry record updated Sep 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5502 Issued in WA
Legal business name
ASSOCIATED DENTIST
Practice address
1912 N Division St
Ste 101
Spokane, WA 99207-2230
Phone
(509) 326-5620
Fax
(509) 326-4686
NPI assigned
Sep 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2016

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

Authorized official

Name
Dr. Thomas Fredrick Weiler, DDSNPI 1871575449
Title
Owner/Dentist
Phone
(509) 768-7635

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 5502 WA Primary

Addresses

Primary practice location

1912 N Division St
Ste 101
Spokane, WA 99207-2230

Mailing address

1912 N Division St
Ste 101
Spokane, WA 99207-2230
Phone (509) 326-5620

Other identifiers 1

IdentifierTypeStateIssuer
5012455MedicaidWA

National Provider Directory

National Provider Directory

Locations

1912 N Division St
Ste 101
Spokane, WA 99207
Phone (509) 326-5620

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": "1473206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473206400000",
    "number": "1073060026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1912 N DIVISION ST",
            "address_2": "STE 101",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992072230",
            "telephone_number": "509-326-5620",
            "fax_number": "509-326-4686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1912 N DIVISION ST",
            "address_2": "STE 101",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992072230",
            "telephone_number": "509-326-5620",
            "fax_number": "509-326-4686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED DENTIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-07",
        "last_updated": "2016-09-07",
        "status": "A",
        "authorized_official_last_name": "WEILER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "FREDRICK",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "509-768-7635",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "5502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5012455",
            "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 7, 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.