Bryan W McLelland, DDS

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

9238 Issued in WA

Practice address

507 N Sullivan Rd Ste 120
Spokane Valley, WA 99037-8535

Phone

(509) 822-2774

Fax

(509) 344-1113

NPI assigned

Sep 15, 2005

Last updated

Jul 5, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 1, 2018 through Apr 1, 2028

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bryan W. McLelland D.D.S., P.S.

  • Oral and Maxillofacial Surgery Clinic/Center
  • Spokane Valley, WA
  • NPI 1396292074
  NPD (past) Authorized official
• Bryan W. McLelland, D.D.S., P.S.

  • Oral and Maxillofacial Surgery Clinic/Center
  • Post Falls, ID
  • NPI 1619424611
  NPD (past) Authorized official
• Liberty ASC

  • Ambulatory Surgical Clinic/Center
  • Spokane Valley, WA
  • NPI 1609345727
  NPD (past)
• Spokane Oms

  • Oral and Maxillofacial Surgery (Dentist)
  • Spokane Valley, WA
  • NPI 1497789820
  NPD (past)
• Western Illinois Oral & Maxillofacial Surgery, LTD.

  • Oral and Maxillofacial Surgery (Dentist)
  • Galesburg, IL
  • NPI 1932232287
  NPD (past)

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

{
    "created_epoch": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656979200000",
    "number": "1467447433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 N SULLIVAN RD STE 120",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "990378535",
            "telephone_number": "509-822-2774",
            "fax_number": "509-344-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 N SULLIVAN RD STE 120",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "990378535",
            "telephone_number": "509-822-2774",
            "fax_number": "509-344-1113"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "602 N Calgary Ct Ste 202",
            "address_purpose": "LOCATION",
            "city": "Post Falls",
            "state": "ID",
            "postal_code": "838544000",
            "country_code": "US",
            "telephone_number": "208-264-4665",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCLELLAND",
        "first_name": "BRYAN",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-15",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "WA",
            "license": "9238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5040738",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• I.Blake McKinley II, DDS
• Lauren McKinley
• Luther Bruce McLain
• Aubrey McLaughlin
• Morgan Rose McLaughlin
• Gary McLuskie, MSW, LICSW
• Justin Tyler McNamara, L.M.T.
• Gloria McNelly, LMT
• Alexis McPherson, PHARMD
• Tracie McQuade

• Oral & Maxillofacial Surgery (D.M.D.) in Spokane Valley, WA
• Providers in Spokane Valley, WA by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2022; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.