Organization Active NPI

Prodigy Dental Arts

  • Dental Clinic/Center
  • Spokane Valley, WA
National Provider Identifier
1114875804
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
PRODIGY DENTAL ARTS
Practice address
9015 E Valleyway Ave Ste a
Spokane Valley, WA 99212-2893
Phone
(509) 703-7397
NPI assigned
Mar 18, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

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

Authorized official

Name
Nadia GrishinNPI 1063039766
Title
Dentist
Phone
(509) 475-0350

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

9015 E Valleyway Ave Ste a
Spokane Valley, WA 99212-2893

Mailing address

9015 E Valleyway Ave Ste a
Spokane Valley, WA 99212-2893
Phone (509) 703-7397

National Provider Directory

National Provider Directory

Locations

9015 E Valleyway Ave
Ste A
Spokane Valley, WA 99212
Phone (509) 703-7397

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": "1773792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773792000000",
    "number": "1114875804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9015 E VALLEYWAY AVE STE A",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992122893",
            "telephone_number": "509-703-7397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9015 E VALLEYWAY AVE STE A",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992122893",
            "telephone_number": "509-703-7397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRODIGY DENTAL ARTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-18",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A",
        "authorized_official_last_name": "GRISHIN",
        "authorized_official_first_name": "NADIA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "509-475-0350"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "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 Mar 18, 2026; 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.