Organization Active NPI

Greer McNamara DDS PLLC

  • Dental Clinic/Center
  • Pasco, WA
National Provider Identifier
1194379776
Registry record updated Jul 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
GREER MCNAMARA DDS PLLC
Practice address
6825 Burden Blvd Ste B
Pasco, WA 99301-5633
Phone
(509) 591-0551
NPI assigned
Jul 31, 2019
Organization subpart
Yes
Parent organization
MCNAMARA DDS PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 31, 2019

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

Authorized official

Name
Melissa Costi
Title
Regional Manager
Phone
(509) 591-0551

Specialties & licenses 1

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

Addresses

Primary practice location

6825 Burden Blvd Ste B
Pasco, WA 99301-5633

Mailing address

6825 Burden Blvd Ste B
Pasco, WA 99301-5633
Phone (509) 591-0551

Other identifiers 1

IdentifierTypeStateIssuer
2072517MedicaidWA

Other names 1

  • Mid-Columbia Dental Doing business as

National Provider Directory

National Provider Directory
Part of
McNamara DDS PLLC

Locations

6825 Burden Blvd
Ste B
Pasco, WA 99301
Phone (509) 543-9898

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1564531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564531200000",
    "number": "1194379776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6825 BURDEN BLVD STE B",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993015633",
            "telephone_number": "509-591-0551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6825 BURDEN BLVD STE B",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993015633",
            "telephone_number": "509-591-0551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREER MCNAMARA DDS PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MCNAMARA DDS PLLC",
        "enumeration_date": "2019-07-31",
        "last_updated": "2019-07-31",
        "status": "A",
        "authorized_official_last_name": "COSTI",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "REGIONAL MANAGER",
        "authorized_official_telephone_number": "509-591-0551"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2072517",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mid-Columbia Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pasco, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2019; 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.