Organization Active NPI

Ola J. Englund, D.D.S., P.S.

  • General Practice Dentistry
  • Spokane, WA
National Provider Identifier
1124234042
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4850 Issued in WA
Legal business name
OLA J. ENGLUND, D.D.S., P.S.
Practice address
6817 N Cedar Rd Ste 201
Spokane, WA 99208-4277
Phone
(509) 326-8170
Fax
(509) 326-8172
NPI assigned
May 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Elsa Burk
Title
Business Manager
Phone
(509) 326-8170

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 4850 WA Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 8323 WA

Addresses

Primary practice location

6817 N Cedar Rd Ste 201
Spokane, WA 99208-4277

Mailing address

6817 N Cedar Rd Ste 201
Spokane, WA 99208-4277
Phone (509) 326-8170

Other identifiers 1

IdentifierTypeStateIssuer
5022363MedicaidWA

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124234042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6817 N CEDAR RD STE 201",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992084277",
            "telephone_number": "509-326-8170",
            "fax_number": "509-326-8172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6817 N CEDAR RD STE 201",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992084277",
            "telephone_number": "509-326-8170",
            "fax_number": "509-326-8172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLA J. ENGLUND, D.D.S., P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BURK",
        "authorized_official_first_name": "ELSA",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "509-326-8170"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "4850",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "8323",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5022363",
            "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 Aug 22, 2020; 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.