MC-Pull LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MC-PULL LLC

Practice address

1410 SE Bishop Blvd
Pullman, WA 99163-5419

Phone

(509) 339-6511

Fax

(509) 339-6735

NPI assigned

Dec 3, 2018

Organization subpart

No

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

Authorized official

Name

Cathy M Reed

Title

Credentialing

Phone

(509) 235-2900

Specialties & licenses 1

Addresses

Other names 1

• Mint Condition Dental Doing business as

Practitioners 2

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

• Dakota Alan Baugus, DDS

  • Dentist
  • Pullman, WA
  • NPI 1609426717
  NPD (past)
• Sarah Rachel Elperin, DDS

  • General Practice Dentistry
  • Ellensburg, WA
  • NPI 1013431915
  NPD (past)

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

{
    "created_epoch": "1543795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543795200000",
    "number": "1356811319",
    "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": "509-235-2900",
            "fax_number": "509-235-2925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 SE BISHOP BLVD",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991635419",
            "telephone_number": "509-339-6511",
            "fax_number": "509-339-6735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MC-PULL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-03",
        "last_updated": "2018-12-03",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "CATHY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "509-235-2900"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mint Condition Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary Parks DMD PLLC
• Denver Louise Mason
• Jennifer Lynn Mattoon, RPH
• Dakota Mauzay, PY
• Adrienne R Maxwell, RDN
• Ash Faolan McConn
• Len D McCoy, PSY D
• Keira Reid McDonnell
• Travis R McGoff, L.M.P
• Marianne T McGreevy

• Dental Clinic/Center in Pullman, WA
• Providers in Pullman, 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 Dec 3, 2018; 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.