Organization Active NPI

Central Tri-Cities Gastroenterology, LLC

  • Gastroenterology Physician
  • Kennewick, WA
National Provider Identifier
1306097498
Registry record updated Dec 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
CENTRAL TRI-CITIES GASTROENTEROLOGY, LLC
Practice address
7211 W Deschutes Ave
Suite D-201
Kennewick, WA 99336-7715
Phone
(509) 783-8195
NPI assigned
Oct 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2008

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

Authorized official

Name
Dr. Ningxin Zeng, M.D.
Title
Medical Doctor
Phone
(509) 783-8195

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X WA Primary

Addresses

Primary practice location

7211 W Deschutes Ave
Suite D-201
Kennewick, WA 99336-7715

Mailing address

7211 W Deschutes Ave
Suite D-201
Kennewick, WA 99336-7715
Phone (509) 783-8195

Other identifiers 1

IdentifierTypeStateIssuer
1125939MedicaidWA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229385600000",
    "number": "1306097498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7211 W DESCHUTES AVE",
            "address_2": "SUITE D-201",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367715",
            "telephone_number": "509-783-8195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7211 W DESCHUTES AVE",
            "address_2": "SUITE D-201",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367715",
            "telephone_number": "509-783-8195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL TRI-CITIES GASTROENTEROLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-07",
        "last_updated": "2008-12-16",
        "status": "A",
        "authorized_official_last_name": "ZENG",
        "authorized_official_first_name": "NINGXIN",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "509-783-8195",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1125939",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2008; 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.