Active NPI
Bryan W. McLelland D.D.S., P.S.
- Oral and Maxillofacial Surgery Clinic/Center
- Spokane Valley, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery Clinic/Center
- Legal business name
- BRYAN W. MCLELLAND D.D.S., P.S.
- Practice address
- 12109 E Broadway Ave
BLDG C
Spokane Valley, WA 99206-6133 - Phone
- (509) 922-2273
- Fax
- (509) 344-1113
- NPI assigned
- Sep 9, 2016
- Last updated
- Sep 9, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Bryan McLelland, DDS
- Title
- Oral Surgeon / Owner
- Phone
- (509) 939-7684
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery Clinic/Center | 261QS0112X | NU | Primary |
Addresses
Primary practice location
12109 E Broadway Ave
BLDG C
Spokane Valley, WA 99206-6133
Mailing address
602 N Calgary CT
Suite 202
Post Falls, ID 83854-4000
Phone (208) 262-2660
Other names 1
- Liberty Oral & Facial Surgery
National Provider Directory
National Provider Directory- Tax ID family
- Bryan W McLelland DDS PS
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Oral and Maxillofacial Surgery Clinic/Center
- Post Falls, ID
- NPI 1619424611
Locations
602 N Calgary Ct
Ste 202
Post Falls, ID 83854
Phone (208) 262-2660
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.
-
- Oral & Maxillofacial Surgery (D.M.D.)
- Spokane Valley, WA
- NPI 1467447433
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473379200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1473379200000",
"number": "1396292074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "602 N CALGARY CT",
"address_2": "SUITE 202",
"city": "POST FALLS",
"state": "ID",
"postal_code": "838544000",
"telephone_number": "208-262-2660",
"fax_number": "509-344-1113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12109 E BROADWAY AVE",
"address_2": "BLDG C",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "992066133",
"telephone_number": "509-922-2273",
"fax_number": "509-344-1113"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRYAN W. MCLELLAND D.D.S., P.S.",
"organizational_subpart": "NO",
"enumeration_date": "2016-09-09",
"last_updated": "2016-09-09",
"status": "A",
"authorized_official_last_name": "MCLELLAND",
"authorized_official_first_name": "BRYAN",
"authorized_official_title_or_position": "ORAL SURGEON / OWNER",
"authorized_official_telephone_number": "509-939-7684",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QS0112X",
"taxonomy_group": "",
"desc": "Clinic/Center, Oral and Maxillofacial Surgery",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Liberty Oral & Facial Surgery",
"code": "5",
"type": "Other Name"
}
]
}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 Sep 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.