NPIMap

Organization Active NPI

Eugene Pester DDS & Associates

Doing business as Apex Dental Anesthesia

  • General Practice Dentistry
  • Moses Lake, WA
National Provider Identifier
1235346057
Registry record updated Nov 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
EUGENE PESTER DDS & ASSOCIATES
Doing business as
Apex Dental Anesthesia
Moses Lake Dental Group
Practice address
825 Sharon Ave E
Moses Lake, WA 98837-2441
Phone
(509) 766-9030
Fax
(509) 766-5624
NPI assigned
May 17, 2007
Last updated
Nov 12, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2020

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

Authorized official

Name
Eugene B Pester, DDSNPI 1659590206
Title
Member - Owner
Phone
(509) 995-7746

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
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

825 Sharon Ave E
Moses Lake, WA 98837-2441

Mailing address

825 Sharon Ave E
Moses Lake, WA 98837-2441
Phone (509) 766-9030

Other identifiers 1

IdentifierTypeStateIssuer
5044599MedicaidWA

Other names 2

  • Apex Dental Anesthesia Doing business as
  • Moses Lake Dental Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Eugene Pester DDS Associates4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

317 S Ash St
Moses Lake, WA 98837
Phone (509) 764-5399

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

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": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605139200000",
    "number": "1235346057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 SHARON AVE E",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988372441",
            "telephone_number": "509-766-9030",
            "fax_number": "509-766-5624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 SHARON AVE E",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988372441",
            "telephone_number": "509-766-9030",
            "fax_number": "509-766-5624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUGENE PESTER DDS & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A",
        "authorized_official_last_name": "PESTER",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MEMBER - OWNER",
        "authorized_official_telephone_number": "509-995-7746",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5044599",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Apex Dental Anesthesia",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Moses Lake Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Moses Lake, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.