NPIMap

Organization Active NPI

Central Spokane Dental, LLC

  • Dentist
  • Spokane, WA
National Provider Identifier
1336545938
Registry record updated Nov 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE60028811 Issued in WA
Legal business name
CENTRAL SPOKANE DENTAL, LLC
Practice address
6411 N Division St
Spokane, WA 99208-3935
Phone
(509) 465-1561
NPI assigned
Nov 8, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2014

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

Authorized official

Name
Patrick Hudson, DDS
Title
Owner/Dentist
Phone
(719) 661-6639

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DE60028811 WA Primary

Addresses

Primary practice location

6411 N Division St
Spokane, WA 99208-3935

Mailing address

6411 N Division St
Spokane, WA 99208-3935
Phone (509) 465-1561

National Provider Directory

National Provider Directory

Locations

6411 N Division St
Spokane, WA 99208
Phone (509) 465-1561

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1415404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415404800000",
    "number": "1336545938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6411 N DIVISION ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992083935",
            "telephone_number": "509-465-1561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6411 N DIVISION ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992083935",
            "telephone_number": "509-465-1561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL SPOKANE DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-08",
        "last_updated": "2014-11-08",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "719-661-6639",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60028811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2014; 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.