Evergreen Cosmetic & Family Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

EVERGREEN COSMETIC & FAMILY DENTISTRY

Practice address

1005 N Evergreen Rd
Suite #202
Spokane Valley, WA 99216-1485

Phone

(509) 928-4191

Fax

(509) 921-5942

NPI assigned

Jun 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. Amy Sines

Title

Financial Coordinator

Phone

(509) 928-4191

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Blaine Dodson, D.M.D.

  • General Practice Dentistry
  • Spokane Valley, WA
  • NPI 1891731105
  NPD (past)
• Jeffrey R Hood, D.D.S

  • General Practice Dentistry
  • Spokane Valley, WA
  • NPI 1669412987
  NPD (past)

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497796130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 N EVERGREEN RD",
            "address_2": "SUITE #202",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992161485",
            "telephone_number": "509-928-4191",
            "fax_number": "509-921-5942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 N EVERGREEN RD",
            "address_2": "SUITE #202",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992161485",
            "telephone_number": "509-928-4191",
            "fax_number": "509-921-5942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN COSMETIC & FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SINES",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "FINANCIAL COORDINATOR",
        "authorized_official_telephone_number": "509-928-4191",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Rolaine Evans, MSW
• Lynnette Marie Evenson, PHARM.D.
• Diane Elizabeth Everett
• Lisa Nicole Everett, DPT
• Mark G Everett, OD
• Evergreen Prosthetics and Orthotics, LLC
• Excelsia Wa, PLLC
• Eye Care Associates, PLLC
• Eye Consultants, P.S.
• Eye Pro Optics

• General Practice Dentistry in Spokane Valley, WA
• Providers in Spokane Valley, 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 Aug 22, 2020; 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.