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

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.

Title

Dentist/Owner

Phone

(509) 747-7166

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003288",
            "state": "WA"
        }
    ],
    "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.