Daniel Blaine Funk, DMD

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DE00009926 Issued in WA

Practice address

620 N Argonne Rd
Suite a
Spokane Valley, WA 99212-2792

Phone

(509) 928-8762

NPI assigned

Jun 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Spokane Endodontics PS

  • Dental Clinic/Center
  • Spokane Valley, WA
  • NPI 1316496482
  NPD (past)

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376579987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 W 15TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992032109",
            "telephone_number": "509-624-3733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 N ARGONNE RD",
            "address_2": "SUITE A",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992122792",
            "telephone_number": "509-928-8762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNK",
        "first_name": "DANIEL",
        "middle_name": "BLAINE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "WA",
            "license": "DE00009926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirk Ernest Fuhriman, DDS
• Full Circle Midwifery LLC
• Alexis Fulton
• Spencer Nelson Funari, SUDPT
• Jade Funaro
• McKenzie Gabel
• Michael Gaddis, PHARM. D.
• Sarah Rashelle Gagnebin, LMP
• Lisa G Gainer, LICSW
• Benjamin Stockton Gaines

• Endodontics in Spokane Valley, WA
• Providers in Spokane Valley, WA by specialty
• Endodontics in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.