Organization Active NPI

Hillyard Dental Clinic

  • Dentist
  • Spokane, WA
National Provider Identifier
1114475407
Registry record updated Sep 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7397 Issued in WA
Legal business name
HILLYARD DENTAL CLINIC
Practice address
4817 N Market St
Spokane, WA 99217-5028
Phone
(509) 489-2300
NPI assigned
Sep 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2016

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

Authorized official

Name
Daniel KunkelNPI 1790704138
Title
DDS
Phone
(509) 489-2300

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 7397 WA Primary

Addresses

Primary practice location

4817 N Market St
Spokane, WA 99217-5028

Mailing address

4817 N Market St
Spokane, WA 99217-5028
Phone (509) 489-2300

National Provider Directory

National Provider Directory

Locations

4817 N Market St
Spokane, WA 99217
Phone (509) 489-2300

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": "1473811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473811200000",
    "number": "1114475407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4817 N MARKET ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992175028",
            "telephone_number": "509-489-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4817 N MARKET ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992175028",
            "telephone_number": "509-489-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLYARD DENTAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-14",
        "last_updated": "2016-09-14",
        "status": "A",
        "authorized_official_last_name": "KUNKEL",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "509-489-2300"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "7397",
            "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 14, 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.