Spokane Oms

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

SPOKANE OMS

Practice address

12109 E Broadway Avenue Suite C
Spokane Valley, WA 99206-6133

Phone

(509) 926-7106

Fax

(509) 926-2833

NPI assigned

Jul 10, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Marla A Telin

Title

Coo

Phone

(509) 926-7106

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Spokane Oral & Maxillofacial Surgery Other name

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Spokane Oral and Maxillofacial Surgery ASC

  • Oral and Maxillofacial Surgery Clinic/Center
  • Spokane Valley, WA
  • NPI 1275876849
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bryan W McLelland, DDS

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Spokane Valley, WA
  • NPI 1467447433
  NPD (past)

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1497789820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12109 E BROADWAY AVE STE C",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992066133",
            "telephone_number": "509-926-7106",
            "fax_number": "509-926-2833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12109 E BROADWAY AVENUE SUITE C",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992066133",
            "telephone_number": "509-926-7106",
            "fax_number": "509-926-2833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPOKANE OMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "TELIN",
        "authorized_official_first_name": "MARLA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "509-926-7106",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5036579",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spokane Oral & Maxillofacial Surgery",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Spokane Massage, PLLC
• Spokane of Cascadia, LLC
• Spokane of Olympus, LLC
• Spokane Optical Company LLC
• Spokane Oral and Maxillofacial Surgery ASC
• Spokane Oral Surgery ASC
• Spokane Podiatry PS
• Spokane Podiatry PS

• Oral and Maxillofacial Surgery (Dentist) in Spokane Valley, WA
• Providers in Spokane Valley, WA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.