NPIMap

Organization Active NPI

NPD Service LLC

  • Dental Clinic/Center
  • Spokane, WA
National Provider Identifier
1235582602
Registry record updated Jul 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
6885 Issued in WA
Legal business name
NPD SERVICE LLC
Practice address
8404 N Wall St
Spokane, WA 99208-6171
Phone
(509) 466-6614
Fax
(509) 466-0982
NPI assigned
Jul 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2016

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

Authorized official

Name
Dr. Von R Tracy, DDS
Title
Dentist
Phone
(509) 466-6614

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 6885 WA Primary

Addresses

Primary practice location

8404 N Wall St
Spokane, WA 99208-6171

Mailing address

8404 N Wall St
Spokane, WA 99208-6171
Phone (509) 466-6614

Other names 1

  • Von R. Tracy DDS Other name

National Provider Directory

National Provider Directory
Tax ID family
NPD Service LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

8404 N Wall St
Spokane, WA 99208
Phone (509) 466-6614

NPI Registry JSON

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

{
    "created_epoch": "1468972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468972800000",
    "number": "1235582602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8404 N WALL ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992086171",
            "telephone_number": "509-466-6614",
            "fax_number": "509-466-0982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8404 N WALL ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992086171",
            "telephone_number": "509-466-6614",
            "fax_number": "509-466-0982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NPD SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-20",
        "last_updated": "2016-07-20",
        "status": "A",
        "authorized_official_last_name": "TRACY",
        "authorized_official_first_name": "VON",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "509-466-6614",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "6885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Von R. Tracy DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jul 20, 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.