Organization Active NPI

South Hill Periodontics

  • Periodontics
  • Spokane, WA
National Provider Identifier
1629524061
Registry record updated Aug 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
SOUTH HILL PERIODONTICS
Practice address
2700 S Southeast Blvd
Suite 210
Spokane, WA 99223-4984
Phone
(509) 536-7032
Fax
(509) 536-7002
NPI assigned
Aug 26, 2016
Last updated
Aug 26, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
SOUTHHILL PERIODONTICSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 26, 2016

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

Authorized official

Name
Dr. Anthony Giardino, DDSNPI 1336235472
Title
Owner
Phone
(509) 536-7032

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X NU Primary

Addresses

Primary practice location

2700 S Southeast Blvd
Suite 210
Spokane, WA 99223-4984

Mailing address

2700 S Southeast Blvd
Suite 210
Spokane, WA 99223-4984
Phone (509) 536-7032

National Provider Directory

National Provider Directory

Locations

2700 S Southeast Blvd
Ste 210
Spokane, WA 99223
Phone (509) 536-7032

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1472169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472169600000",
    "number": "1629524061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 S SOUTHEAST BLVD",
            "address_2": "SUITE 210",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992234984",
            "telephone_number": "509-536-7032",
            "fax_number": "509-536-7002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 S SOUTHEAST BLVD",
            "address_2": "SUITE 210",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992234984",
            "telephone_number": "509-536-7032",
            "fax_number": "509-536-7002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH HILL PERIODONTICS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHHILL PERIODONTICS",
        "enumeration_date": "2016-08-26",
        "last_updated": "2016-08-26",
        "status": "A",
        "authorized_official_last_name": "GIARDINO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-536-7032",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NU",
            "license": null,
            "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 Aug 26, 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.