South Hill Family Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DE00010773 Issued in WA

Legal business name

SOUTH HILL FAMILY DENTAL

Practice address

1424 S Bernard St
Spokane, WA 99203-5008

Phone

(509) 747-7166

Fax

(509) 747-0483

NPI assigned

Aug 16, 2016

Last updated

Aug 16, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kimberly R Craven, D.D.S.NPI 1134274335

Title

Dentist/Owner

Phone

(509) 747-7166

Specialties & licenses 1

Addresses

Locations

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.

• Kimberly Richards Craven, D.D.S.

  • Dentist
  • Spokane, WA
  • NPI 1134274335
  Authorized official Same address or phone

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

{
    "created_epoch": "1471305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471305600000",
    "number": "1265987663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1424 S BERNARD ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992035008",
            "telephone_number": "509-747-7166",
            "fax_number": "509-747-0483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1424 S BERNARD ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992035008",
            "telephone_number": "509-747-7166",
            "fax_number": "509-747-0483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH HILL FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-16",
        "last_updated": "2016-08-16",
        "status": "A",
        "authorized_official_last_name": "CRAVEN",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "509-747-7166",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "DE00010773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janelle Dubbins Sousa, MD
• Ted Carr Sousa, M.D.
• Melissa Sousley, MD
• South Hill Ambulatory Surgical Center PS
• South Hill Counseling, LLC
• South Hill Foot & Ankle Clinic PS
• South Hill Pediatric Dentistry
• South Hill Periodontics
• South Hill Spinal Care
• South Hill Spinal Care,LLC

• Dental Clinic/Center in Spokane, WA
• Providers in Spokane, WA by specialty
• Dental Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.