Organization Active NPI

Geriatric Family Care, PS

  • Geriatric Medicine (Family Medicine) Physician
  • Spokane, WA
National Provider Identifier
1366640633
Registry record updated Nov 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
MD000141 Issued in WA
Legal business name
GERIATRIC FAMILY CARE, PS
Practice address
1010 W Rosewood Ave
Spokane, WA 99208-4257
Phone
(509) 465-9776
Fax
(509) 465-9058
NPI assigned
Jul 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2007

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

Authorized official

Name
Dr. Bruce H Dentler, M.D.NPI 1124116611
Title
Owner
Phone
(509) 465-9776

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
Geriatric Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QG0300X MD000141 WA Primary

Addresses

Primary practice location

1010 W Rosewood Ave
Spokane, WA 99208-4257

Mailing address

1010 W Rosewood Ave
Spokane, WA 99208-4257
Phone (509) 465-9776

Other identifiers 1

IdentifierTypeStateIssuer
7083884MedicaidWA

National Provider Directory

National Provider Directory

Locations

1010 W Rosewood Ave
Spokane, WA 99208
Phone (509) 465-9776

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": "1183680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194998400000",
    "number": "1366640633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 W ROSEWOOD AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992084257",
            "telephone_number": "509-465-9776",
            "fax_number": "509-465-9058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 W ROSEWOOD AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992084257",
            "telephone_number": "509-465-9776",
            "fax_number": "509-465-9058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERIATRIC FAMILY CARE, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-06",
        "last_updated": "2007-11-14",
        "status": "A",
        "authorized_official_last_name": "DENTLER",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-465-9776",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "WA",
            "license": "MD000141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7083884",
            "state": "WA"
        }
    ],
    "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 14, 2007; 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.