Organization Active NPI

Brooksjohnsonpllc

Doing business as W.S.P.D.I.C

  • Prosthodontics
  • Spokane, WA
National Provider Identifier
1144694787
Registry record updated Nov 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
Legal business name
BROOKSJOHNSONPLLC
Doing business as
W.S.P.D.I.C
Practice address
1004 S. Monroe Street
Ste 100
Spokane, WA 99204
Phone
(509) 309-2591
Fax
(425) 455-5036
NPI assigned
Nov 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2015

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

Authorized official

Name
Mrs. Karen Leona Hanson
Title
Office Manager
Phone
(509) 309-2591

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ProsthodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0700X Primary

Addresses

Primary practice location

1004 S. Monroe Street
Ste 100
Spokane, WA 99204

Mailing address

1004 S. Monroe Street
Ste 100
Spokane, WA 99204
Phone (509) 309-2591

Other names 1

  • W.S.P.D.I.C Doing business as

National Provider Directory

National Provider Directory

Locations

1004 S Monroe St
#100
Spokane, WA 99204
Phone (509) 236-8677

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": "1447891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447891200000",
    "number": "1144694787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 S. MONROE STREET",
            "address_2": "STE 100",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "99204",
            "telephone_number": "509-309-2591",
            "fax_number": "425-455-5036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 S. MONROE STREET",
            "address_2": "STE 100",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "99204",
            "telephone_number": "509-309-2591",
            "fax_number": "425-455-5036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKSJOHNSONPLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-19",
        "last_updated": "2015-11-19",
        "status": "A",
        "authorized_official_last_name": "HANSON",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "LEONA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "509-309-2591",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "W.S.P.D.I.C",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 19, 2015; 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.