Spokane Digital Diagnostic

Primary specialty

Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X

Legal business name

SPOKANE DIGITAL DIAGNOSTIC

Practice address

12109 E Broadway Ave
Building C
Spokane Valley, WA 99206-6133

Phone

(509) 926-7106

NPI assigned

Apr 19, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Marla Ann Telin

Title

Chief Operating Officer

Phone

(509) 926-7106

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508083627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12109 E BROADWAY AVE",
            "address_2": "BUILDING C",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992066133",
            "telephone_number": "509-926-7106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12109 E BROADWAY AVE",
            "address_2": "BUILDING C",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992066133",
            "telephone_number": "509-926-7106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPOKANE DIGITAL DIAGNOSTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TELIN",
        "authorized_official_first_name": "MARLA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "509-926-7106",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spine-D II, LLC (SpinalAid)
• Spokane Advanced Imaging Institute LLC
• Spokane Ambulatory Surgery Center
• Spokane County (Spokane County Regional Behavioral Health)
• Spokane Critical Care Associates, PS (Spokane Respiratory Consultants)
• Spokane Endodontics PS
• Spokane Eye Clinic PS (Spokane Optical Company)
• Spokane Integrative Health, Inc.
• Spokane Internal Medicine, P.S.
• Spokane Massage, PLLC

• Oral and Maxillofacial Surgery Clinic/Center in Spokane Valley, WA
• Providers in Spokane Valley, WA by specialty
• Oral and Maxillofacial Surgery Clinic/Center 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.