Pediatric Dental Anesthesiologists

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

PEDIATRIC DENTAL ANESTHESIOLOGISTS

Practice address

9711 N Nevada St
Spokane, WA 99218-3412

Phone

(509) 755-5437

NPI assigned

Jul 22, 2020

Last updated

Jul 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stephen Carlson, MDNPI 1689680530

Title

Partner

Phone

(509) 939-1215

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephen Carlson, MD

  • Anesthesiology Physician
  • Spokane, WA
  • NPI 1689680530
  NPD Authorized official

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

{
    "created_epoch": "1595376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595376000000",
    "number": "1609484922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5437 S QUAIL RIDGE CIR",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992236390",
            "telephone_number": "509-939-1215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9711 N NEVADA ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992183412",
            "telephone_number": "509-755-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC DENTAL ANESTHESIOLOGISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-22",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "509-939-1215",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Christian Pedersen, M.D.
• Brad William Pederson, B.A
• Mary R Pederson, BA
• Pediatric Associates of Spokane
• Pediatric Critical Care Associates PS
• Pediatric Dental Anesthesiologists PLLC (Pda)
• Pediatric Orthotic and Prosthetic Services - Northwest, LLC
• Pedipod PLLC
• David Michael Peek, M.D.
• Peer Washington (Peer Spokane)

• Anesthesiology Physician in Spokane, WA
• Providers in Spokane, WA by specialty
• Anesthesiology Physician in Washington

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