Organization Active NPI

Jeffrey C. Regelin

  • Dentist
  • Spokane, WA
National Provider Identifier
1538612296
Registry record updated Jul 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
60028773 Issued in WA
Legal business name
JEFFREY C. REGELIN
Practice address
902 W 14TH Ave
Spokane, WA 99204-3822
Phone
(509) 838-4137
Fax
(509) 838-2737
NPI assigned
Jul 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2016

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

Authorized official

Name
Cathy Frances Koegen
Title
Office Manager
Phone
(509) 838-4137

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 60028773 WA Primary

Addresses

Primary practice location

902 W 14TH Ave
Spokane, WA 99204-3822

Mailing address

902 W 14TH Ave
Spokane, WA 99204-3822
Phone (509) 838-4137

National Provider Directory

National Provider Directory

Locations

902 W 14th Ave
Spokane, WA 99204
Phone (509) 747-5186

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1469750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469750400000",
    "number": "1538612296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 W 14TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992043822",
            "telephone_number": "509-838-4137",
            "fax_number": "509-838-2737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 W 14TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992043822",
            "telephone_number": "509-838-4137",
            "fax_number": "509-838-2737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY C. REGELIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-29",
        "last_updated": "2016-07-29",
        "status": "A",
        "authorized_official_last_name": "KOEGEN",
        "authorized_official_first_name": "CATHY",
        "authorized_official_middle_name": "FRANCES",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "509-838-4137"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "60028773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 29, 2016; 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.