Shoemaker Ghorbanian I PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

603015647 Issued in WA

Legal business name

SHOEMAKER GHORBANIAN I PLLC

Practice address

104 S Freya St
Turquoise Flag Building Suite 127
Spokane, WA 99202-4862

Phone

(509) 536-9998

Fax

(509) 536-9998

NPI assigned

Jul 22, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Stephen Tyler Shoemaker, DMD

Title

Owner

Phone

(509) 536-9999

Specialties & licenses 1

Addresses

Other names 1

• Sunrise Dental of Spokane Doing business as

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

{
    "created_epoch": "1279756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279756800000",
    "number": "1306159074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 S FREYA ST",
            "address_2": "TURQUOISE FLAG BUILDING SUITE 127",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992024862",
            "telephone_number": "509-536-9998",
            "fax_number": "509-536-9998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 S FREYA ST",
            "address_2": "TURQUOISE FLAG BUILDING SUITE 127",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992024862",
            "telephone_number": "509-536-9998",
            "fax_number": "509-536-9998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOEMAKER GHORBANIAN I PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-22",
        "last_updated": "2010-07-22",
        "status": "A",
        "authorized_official_last_name": "SHOEMAKER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "TYLER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-536-9999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "603015647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunrise Dental of Spokane",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Khalid Shirzad, M.D.
• Theresa Shissler, MSW, LMHC
• Autumn Jillianne Shkuratoff, MS
• Shoba Nishek Licsw, LLC
• Holly D. Shockley, LPC, LMHC
• Shoemaker Ghorbanian II PLLC
• Jeffrey Leon Shoemaker, DC
• Madison Elise Shoemaker
• Sidni Brianna Shoemaker, ARNP
• Tyler S Shoemaker, DMD

• General Practice Dentistry in Spokane, WA
• Providers in Spokane, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2010; 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.