Organization Active NPI

MC-Ga, LLC

  • Dentist
  • Spokane Valley, WA
National Provider Identifier
1346117629
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
MC-GA, LLC
Practice address
1612 N Barker Rd # 0
Spokane Valley, WA 99016-5036
Phone
(509) 922-2211
NPI assigned
Oct 21, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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

Authorized official

Name
Marshall Gibbs, DDS
Title
Dentist
Phone
(208) 790-3253

Specialties & licenses 1

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

Addresses

Primary practice location

1612 N Barker Rd # 0
Spokane Valley, WA 99016-5036

Mailing address

PO Box 19187
Spokane, WA 99219-9187
Phone (509) 922-2211

National Provider Directory

National Provider Directory

Locations

1612 N Barker Rd
#0
Spokane Valley, WA 99016
Phone (509) 922-2211

NPI Registry JSON

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

{
    "created_epoch": "1761004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761004800000",
    "number": "1346117629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19187",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992199187",
            "telephone_number": "509-922-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1612 N BARKER RD # 0",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "990165036",
            "telephone_number": "509-922-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MC-GA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-21",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A",
        "authorized_official_last_name": "GIBBS",
        "authorized_official_first_name": "MARSHALL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "208-790-3253",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2025; 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.