Eastern Washington University Dental Hygiene

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4864 Issued in WA

Legal business name

EASTERN WASHINGTON UNIVERSITY DENTAL HYGIENE

Practice address

310 N Riverpoint Blvd
Box E
Spokane, WA 99202

Phone

(509) 368-6550

Fax

(509) 368-6514

NPI assigned

Jul 30, 2007

Last updated

Nov 3, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Rebecca Lee Stolberg

Title

Department Chair

Phone

(509) 368-6528

Specialties & licenses 2

Addresses

Other identifiers 1

Tax ID family

Eastern Washington University - Dept of Occupational Therapy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Eastern Washington University - Dept. of Occupational Therapy

  • Clinic/Center
  • Spokane, WA
  • NPI 1134459035
  NPD tax ID
• Eastern Washington University Hearing and Speech

  • Speech-Language Pathologist
  • Spokane, WA
  • NPI 1114255866
  NPD tax ID

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257206400000",
    "number": "1457541021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 N RIVERPOINT BLVD",
            "address_2": "BOX E",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "99202",
            "telephone_number": "509-368-6550",
            "fax_number": "509-368-6514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 N RIVERPOINT BLVD",
            "address_2": "BOX E",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "99202",
            "telephone_number": "509-368-6550",
            "fax_number": "509-368-6514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN WASHINGTON UNIVERSITY DENTAL HYGIENE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-30",
        "last_updated": "2009-11-03",
        "status": "A",
        "authorized_official_last_name": "STOLBERG",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "DEPARTMENT CHAIR",
        "authorized_official_telephone_number": "509-368-6528",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "4864",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "6554",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "508205",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lori Jean Eastep, MSW LICSW
• Patti L Eastep, RN
• Tanner Eastep, BS
• Nikki Rae Easterling, M.ED., CDP, CC.DOULA
• Eastern Washington University - Dept. of Occupational Therapy
• Eastern Washington University Hearing and Speech
• Eastern Wellness Washington PLLC
• Joy E Eastgate, O.T.
• Asena Eastman
• Chelsea M Eastman, PA-C

• General Practice Dentistry in Spokane, WA
• Providers in Spokane, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2009; 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.