Spokane Oral and Maxillofacial Surgery ASC

Primary specialty

Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X

Legal business name

SPOKANE ORAL AND MAXILLOFACIAL SURGERY ASC

Practice address

12109 E Broadway Ave
Building C
Spokane Valley, WA 99206-6133

Phone

(509) 926-7106

Fax

(509) 926-2833

NPI assigned

Apr 2, 2013

Last updated

Apr 2, 2013By the provider in NPPES

Organization subpart

Yes

Parent organization

SPOKANE OMS PLLCAs reported in NPPES

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

Authorized official

Name

Ms. Renee K Bancroft

Title

Billing Manager

Phone

(509) 926-7106

Specialties & licenses 1

Addresses

Part of

Spokane Oms

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Spokane Oms

  • Oral and Maxillofacial Surgery (Dentist)
  • Spokane Valley, WA
  • NPI 1497789820
  NPPES parent name

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

{
    "created_epoch": "1364860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364860800000",
    "number": "1275876849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12109 E BROADWAY AVE",
            "address_2": "BUILDING C",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992066133",
            "telephone_number": "509-926-7106",
            "fax_number": "509-926-2833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12109 E BROADWAY AVE",
            "address_2": "BUILDING C",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992066133",
            "telephone_number": "509-926-7106",
            "fax_number": "509-926-2833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPOKANE ORAL AND MAXILLOFACIAL SURGERY ASC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPOKANE OMS PLLC",
        "enumeration_date": "2013-04-02",
        "last_updated": "2013-04-02",
        "status": "A",
        "authorized_official_last_name": "BANCROFT",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "509-926-7106",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spokane Massage, PLLC
• Spokane of Cascadia, LLC (Spokane Valley Health and Rehabilitation of Cascadia)
• Spokane of Olympus, LLC
• Spokane Oms
• Spokane Optical Company LLC (Spokane Optical Company)
• Spokane Oral Surgery ASC
• Spokane Podiatry PS (Medical Foot Center)
• Spokane Podiatry PS (Medical Foot Center)
• Spokane River Birth Center
• Spokane River Family Wellness PLLC

• Oral and Maxillofacial Surgery Clinic/Center in Spokane Valley, WA
• Providers in Spokane Valley, WA by specialty
• Oral and Maxillofacial Surgery Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2013; 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.