NPIMap

Organization Active NPI

Max H Molgard Jr, DDS, Facp, PLLC

Doing business as Northside Prosthodontics and Family

  • Prosthodontics
  • Spokane, WA
National Provider Identifier
1144776253
Registry record updated Aug 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
DE60547038 Issued in WA
Legal business name
MAX H MOLGARD JR, DDS, FACP, PLLC
Doing business as
Northside Prosthodontics and Family
Practice address
6817 N Cedar Rd
Suite 102
Spokane, WA 99208-4277
Phone
(509) 327-4469
NPI assigned
Aug 29, 2016
Last updated
Aug 29, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2016

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

Authorized official

Name
Dr. Max H Molgard Jr., DDSNPI 1447224035
Title
Owner/Dentist
Phone
(509) 327-4469

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
Prosthodontics 1223P0700X DE60547038 WA Primary

Addresses

Primary practice location

6817 N Cedar Rd
Suite 102
Spokane, WA 99208-4277

Mailing address

6817 N Cedar Rd
Suite 102
Spokane, WA 99208-4277
Phone (509) 327-4469

Other names 1

  • Northside Prosthodontics and Family Doing business as

National Provider Directory

National Provider Directory

Locations

6817 N Cedar Rd
Ste 102
Spokane, WA 99208
Phone (509) 327-4469

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1472428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472428800000",
    "number": "1144776253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6817 N CEDAR RD",
            "address_2": "SUITE 102",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992084277",
            "telephone_number": "509-327-4469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6817 N CEDAR RD",
            "address_2": "SUITE 102",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992084277",
            "telephone_number": "509-327-4469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAX H MOLGARD JR, DDS, FACP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-29",
        "last_updated": "2016-08-29",
        "status": "A",
        "authorized_official_last_name": "MOLGARD",
        "authorized_official_first_name": "MAX",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "509-327-4469",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "WA",
            "license": "DE60547038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northside Prosthodontics and Family",
            "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 Aug 29, 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.