Active NPI
Bruce C Toillion
- Dentist
- Medical Lake, WA
National Provider Identifier
1497077986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 4735
- Legal business name
- BRUCE C TOILLION
- Practice address
- N 123 Brower
Medical Lake, WA 99022 - Phone
- (509) 299-5171
- Fax
- (509) 299-5151
- NPI assigned
- Feb 24, 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
- Bruce C Toillion, DDS
- Title
- Owner/DDS
- Phone
- (509) 299-5171
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 4735 | WA | Primary |
Addresses
Primary practice location
N 123 Brower
Medical Lake, WA 99022
Mailing address
PO Box 10
Medical Lake, WA 99022-0010
Phone (509) 299-5171
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5511704 | Medicaid | WA |
Other names 1
- Medical Lake Dental
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Medical Lake, WA
- NPI 1164311452
-
- Dentist
- Medical Lake, WA
- NPI 1467774232
-
- General Practice Dentistry
- Medical Lake, WA
- NPI 1679059331
-
- General Practice Dentistry
- Medical Lake, WA
- NPI 1851442693
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266969600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1266969600000",
"number": "1497077986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10",
"city": "MEDICAL LAKE",
"state": "WA",
"postal_code": "990220010",
"telephone_number": "509-299-5171",
"fax_number": "509-299-5151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "N 123 BROWER",
"city": "MEDICAL LAKE",
"state": "WA",
"postal_code": "99022",
"telephone_number": "509-299-5171",
"fax_number": "509-299-5151"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRUCE C TOILLION",
"organizational_subpart": "NO",
"enumeration_date": "2010-02-24",
"last_updated": "2010-02-24",
"status": "A",
"authorized_official_last_name": "TOILLION",
"authorized_official_first_name": "BRUCE",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OWNER/DDS",
"authorized_official_telephone_number": "509-299-5171",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "WA",
"license": "4735",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5511704",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Medical Lake Dental",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Medical Lake, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.