Organization Active NPI

Spokane Valley Dental

  • General Practice Dentistry
  • Spokane Valley, WA
National Provider Identifier
1083160824
Registry record updated Aug 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9157 Issued in WA
Legal business name
SPOKANE VALLEY DENTAL
Practice address
200 N Mullan Rd Ste 103
Spokane Valley, WA 99206-6800
Phone
(509) 928-8431
Fax
(509) 928-3522
NPI assigned
Aug 31, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2016

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

Authorized official

Name
Mrs. Michele Lynn Foglia, DMDNPI 1548356769
Title
Dentist
Phone
(509) 928-8431

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
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 9157 WA Primary

Addresses

Primary practice location

200 N Mullan Rd Ste 103
Spokane Valley, WA 99206-6800

Mailing address

200 N Mullan Rd. #103
Spokane, WA 99206
Phone (509) 928-8431

National Provider Directory

National Provider Directory

Locations

200 N Mullan Rd
Ste 103
Spokane Valley, WA 99206
Phone (509) 928-8431

Practitioners & affiliated clinicians

Practitioners 3

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": "1472601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472601600000",
    "number": "1083160824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N MULLAN RD. #103",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "99206",
            "telephone_number": "509-928-8431",
            "fax_number": "509-928-3522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N MULLAN RD STE 103",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992066800",
            "telephone_number": "509-928-8431",
            "fax_number": "509-928-3522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPOKANE VALLEY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-31",
        "last_updated": "2016-08-31",
        "status": "A",
        "authorized_official_last_name": "FOGLIA",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "509-928-8431",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "9157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 31, 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.