Spokane Endodontics PS

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DE00007422 Issued in WA

Legal business name

SPOKANE ENDODONTICS PS

Practice address

620 N Argonne Rd
Suite a
Spokane Valley, WA 99212-2792

Phone

(509) 928-8762

Fax

(509) 928-0110

NPI assigned

Sep 29, 2016

Last updated

Sep 29, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ira B McKinley Jr., DDS

Title

President

Phone

(509) 928-8762

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Daniel Blaine Funk, DMD

  • Endodontics
  • Spokane Valley, WA
  • NPI 1376579987
  NPD (past)
• I.Blake McKinley II, DDS

  • Endodontics
  • Spokane Valley, WA
  • NPI 1568544146
  NPD (past)

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

{
    "created_epoch": "1475107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475107200000",
    "number": "1316496482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 N ARGONNE RD",
            "address_2": "SUITE A",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992122792",
            "telephone_number": "509-928-8762",
            "fax_number": "509-928-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 N ARGONNE RD",
            "address_2": "SUITE A",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992122792",
            "telephone_number": "509-928-8762",
            "fax_number": "509-928-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPOKANE ENDODONTICS PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-29",
        "last_updated": "2016-09-29",
        "status": "A",
        "authorized_official_last_name": "MCKINLEY",
        "authorized_official_first_name": "IRA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "509-928-8762",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "DE00007422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spokane Advanced Imaging Institute LLC
• Spokane Ambulatory Surgery Center
• Spokane County (Spokane County Regional Behavioral Health)
• Spokane Critical Care Associates, PS (Spokane Respiratory Consultants)
• Spokane Digital Diagnostic
• Spokane Eye Clinic PS (Spokane Optical Company)
• Spokane Integrative Health, Inc.
• Spokane Internal Medicine, P.S.
• Spokane Massage, PLLC
• Spokane of Cascadia, LLC (Spokane Valley Health and Rehabilitation of Cascadia)

• Dental Clinic/Center in Spokane Valley, WA
• Providers in Spokane Valley, WA by specialty
• Dental Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2016; 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.