Organization Active NPI

Orchid Developmental Behavioral Pediatrics

Doing business as Orchid Pediatrics

  • Developmental - Behavioral Pediatrics Physician
  • Spokane, WA
National Provider Identifier
1356115398
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental - Behavioral Pediatrics PhysicianTaxonomy code 2080P0006X
Legal business name
ORCHID DEVELOPMENTAL BEHAVIORAL PEDIATRICS
Doing business as
Orchid Pediatrics
Practice address
522 W Riverside Ave Ste 5415
Spokane, WA 99201-0580
Phone
(206) 880-1334
NPI assigned
Nov 9, 2023
Last updated
Nov 9, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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

Authorized official

Name
Joy Eberhardt de Master, MDNPI 1972769552
Title
Owner
Phone
(206) 880-1334

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental - Behavioral Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080P0006X Primary

Addresses

Primary practice location

522 W Riverside Ave Ste 5415
Spokane, WA 99201-0580

Mailing address

522 W Riverside Ave Ste 5415
Spokane, WA 99201-0580

Other names 1

  • Orchid Pediatrics Doing business as

National Provider Directory

National Provider Directory

Locations

522 W Riverside Ave
Ste 5415
Spokane, WA 99201
Phone (206) 880-1334

Practitioners & affiliated clinicians

Practitioners 1

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": "1699488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699488000000",
    "number": "1356115398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 W RIVERSIDE AVE STE 5415",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992010580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 W RIVERSIDE AVE STE 5415",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992010580",
            "telephone_number": "206-880-1334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORCHID DEVELOPMENTAL BEHAVIORAL PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-09",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A",
        "authorized_official_last_name": "EBERHARDT DE MASTER",
        "authorized_official_first_name": "JOY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-880-1334",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0006X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orchid Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 9, 2023; 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.