Active NPI
Scott J Shumway, DDS
- Dentist
- Spokane Valley, WA
National Provider Identifier
1598078768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DE 60507258
- Practice address
- 12121 E Broadway Ave Ste 3
Spokane Valley, WA 99206-4972 - Phone
- (509) 928-3363
- NPI assigned
- Jul 16, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DE 60507258 | WA | Primary |
Addresses
Primary practice location
12121 E Broadway Ave Ste 3
Spokane Valley, WA 99206-4972
Mailing address
12121 E Broadway Ave Ste 3
Spokane Valley, WA 99206-4972
Phone (509) 928-3363
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE 60507258 | WA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nicholas Pearson & Hayden Jones, DDS, PLLC | Dentist | Past | Accepting new patients |
| Scott J. Shumway DDS PLLC | Dentist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Spokane Valley, WA
- NPI 1881047793
-
- Dentist
- Spokane, WA
- NPI 1205708526
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466467200000",
"number": "1598078768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12121 E BROADWAY AVE STE 3",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "992064972",
"telephone_number": "509-928-3363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12121 E BROADWAY AVE STE 3",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "992064972",
"telephone_number": "509-928-3363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHUMWAY",
"first_name": "SCOTT",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-07-16",
"last_updated": "2016-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "DE 60507258",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spokane Valley, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.