NPIMap

Organization Active NPI

Kasey R. Coulson Family & Cosmetic Dentistry, PLLC

  • Dentist
  • Moses Lake, WA
National Provider Identifier
1306506894
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
KASEY R. COULSON FAMILY & COSMETIC DENTISTRY, PLLC
Practice address
1100 S Pioneer Way
Moses Lake, WA 98837-2346
Phone
(509) 765-5615
Fax
(509) 765-7915
NPI assigned
Dec 23, 2021
Last updated
May 18, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2022

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

Authorized official

Name
Mindi Stoker
Title
Office Manager
Phone
(509) 765-5615

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

1100 S Pioneer Way
Moses Lake, WA 98837-2346

Mailing address

1100 S Pioneer Way
Moses Lake, WA 98837-2346
Phone (509) 765-5615

National Provider Directory

National Provider Directory

Locations

1100 S Pioneer Way
Moses Lake, WA 98837
Phone (509) 765-5615

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1640217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652832000000",
    "number": "1306506894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 S PIONEER WAY",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988372346",
            "telephone_number": "509-765-5615",
            "fax_number": "509-765-7915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 S PIONEER WAY",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988372346",
            "telephone_number": "509-765-5615",
            "fax_number": "509-765-7915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KASEY R. COULSON FAMILY & COSMETIC DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-23",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A",
        "authorized_official_last_name": "STOKER",
        "authorized_official_first_name": "MINDI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "509-765-5615"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moses Lake, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; 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.