Organization Active NPI

Pinon PLLC

Doing business as Lakeside Dental

  • Dental Clinic/Center
  • Spokane Valley, WA
National Provider Identifier
1124767272
Registry record updated May 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
PINON PLLC
Doing business as
Lakeside Dental
Lakeside Dental Greenacres
Practice address
1612 N Barker Rd Ste 100
Spokane Valley, WA 99016-5036
Phone
(509) 922-2211
NPI assigned
May 27, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2022

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

Authorized official

Name
Dr. Robert Pinon, DDS
Title
Owner
Phone
(509) 922-2211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1612 N Barker Rd Ste 100
Spokane Valley, WA 99016-5036

Mailing address

1612 N Barker Rd Ste 100
Spokane Valley, WA 99016-5036
Phone (509) 922-2211

Other names 2

  • Lakeside Dental Doing business as
  • Lakeside Dental Greenacres Doing business as

National Provider Directory

National Provider Directory

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": "1653609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653609600000",
    "number": "1124767272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1612 N BARKER RD STE 100",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "990165036",
            "telephone_number": "509-922-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1612 N BARKER RD STE 100",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "990165036",
            "telephone_number": "509-922-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINON PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-27",
        "last_updated": "2022-05-27",
        "certification_date": "2022-05-27",
        "status": "A",
        "authorized_official_last_name": "PINON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-922-2211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeside Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lakeside Dental Greenacres",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 27, 2022; 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.