Organization Active NPI

Carnell Family Dentistry

  • Dental Clinic/Center
  • Spokane, WA
National Provider Identifier
1265793129
Registry record updated Jun 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DE00002797 Issued in WA
Legal business name
CARNELL FAMILY DENTISTRY
Practice address
4610 N Ash St Ste 204
Spokane, WA 99205-1482
Phone
(509) 326-8120
Fax
(509) 325-5370
NPI assigned
Jun 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2012

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

Authorized official

Name
Victor Carnell, DDS, PS
Title
Dentist
Phone
(509) 326-8120

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DE00002797 WA
Dental Clinic/Center 261QD0000X DE00002797 WA Primary

Addresses

Primary practice location

4610 N Ash St Ste 204
Spokane, WA 99205-1482

Mailing address

4610 N Ash St Ste 204
Spokane, WA 99205-1482
Phone (509) 326-8120

National Provider Directory

National Provider Directory
Tax ID family
Carnell Family Dentistry2 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

4610 N Ash St
Ste 204
Spokane, WA 99205
Phone (509) 326-8120

NPI Registry JSON

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

{
    "created_epoch": "1338940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338940800000",
    "number": "1265793129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4610 N ASH ST STE 204",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992051482",
            "telephone_number": "509-326-8120",
            "fax_number": "509-325-5370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4610 N ASH ST STE 204",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992051482",
            "telephone_number": "509-326-8120",
            "fax_number": "509-325-5370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARNELL FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-06",
        "last_updated": "2012-06-06",
        "status": "A",
        "authorized_official_last_name": "CARNELL",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "509-326-8120",
        "authorized_official_credential": "DDS, PS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00002797",
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "DE00002797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 6, 2012; 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.