Active NPI
Shoemaker Ghorbanian II PLLC
- General Practice Dentistry
- Spokane, WA
National Provider Identifier
1487968228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 9933
- Legal business name
- SHOEMAKER GHORBANIAN II PLLC
- Practice address
- 7307 N Division St
Suite 102
Spokane, WA 99208-6545 - Phone
- (509) 468-0866
- Fax
- (509) 468-8403
- NPI assigned
- Aug 4, 2010
- 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. Stephen Tyler Shoemaker, DDS
- Title
- Owner
- Phone
- (509) 220-6053
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 9933 | WA | Primary |
Addresses
Primary practice location
7307 N Division St
Suite 102
Spokane, WA 99208-6545
Mailing address
7307 N Division St
Suite 102
Spokane, WA 99208-6545
Phone (509) 468-0866
Other names 1
- Sunrise Dental of North Spokane
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280880000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1280880000000",
"number": "1487968228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7307 N DIVISION ST",
"address_2": "SUITE 102",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992086545",
"telephone_number": "509-468-0866",
"fax_number": "509-468-8403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7307 N DIVISION ST",
"address_2": "SUITE 102",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992086545",
"telephone_number": "509-468-0866",
"fax_number": "509-468-8403"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHOEMAKER GHORBANIAN II PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-08-04",
"last_updated": "2010-08-04",
"status": "A",
"authorized_official_last_name": "SHOEMAKER",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "TYLER",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "509-220-6053",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "WA",
"license": "9933",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Sunrise Dental of North Spokane",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Aug 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.