Individual provider Active NPI

Elizabeth E Coulter, D.D.S.

  • General Practice Dentistry
  • Spokane Valley, WA
National Provider Identifier
1306024997
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE00011194 Issued in WA
Practice address
1601 S Dishman Mica Rd
Spokane Valley, WA 99206-3317
Phone
(509) 389-5650
NPI assigned
Feb 5, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DE00011194 WA Primary

Addresses

Primary practice location

1601 S Dishman Mica Rd
Spokane Valley, WA 99206-3317

Mailing address

1601 S Dishman Mica Rd
Spokane Valley, WA 99206-3317
Phone (509) 389-5650

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DE00011194WAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Van Den Hoven & Coulter PLLC Current Accepting new patients

Locations

12121 E Broadway Ave
Bldg Ii
Spokane Valley, WA 99206
Phone (509) 924-1314

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1202169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1306024997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 S DISHMAN MICA RD",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992063317",
            "telephone_number": "509-389-5650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 S DISHMAN MICA RD",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992063317",
            "telephone_number": "509-389-5650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COULTER",
        "first_name": "ELIZABETH",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-05",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00011194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; 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.