NPIMap

Organization Active NPI

Edward L Charbonneau, DDS

  • Clinic/Center
  • Spokane, WA
National Provider Identifier
1639357940
Registry record updated Jul 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
4750 Issued in WA
Legal business name
EDWARD L CHARBONNEAU, DDS
Practice address
1520 W Garland Ave
Spokane, WA 99205-2613
Phone
(509) 328-9787
Fax
(509) 326-8095
NPI assigned
Feb 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2008

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

Authorized official

Name
Dr. Edward Lee Charbonneau, DDS.NPI 1336272335
Title
Owner
Phone
(509) 328-9787

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
Clinic/Center 261Q00000X 4750 WA Primary

Addresses

Primary practice location

1520 W Garland Ave
Spokane, WA 99205-2613

Mailing address

1520 W Garland Ave
Spokane, WA 99205-2613
Phone (509) 328-9787

National Provider Directory

National Provider Directory

Locations

1520 W Garland Ave
Spokane, WA 99205
Phone (509) 328-9787

Practitioners & affiliated clinicians

Practitioners 1

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": "1202428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215475200000",
    "number": "1639357940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 W GARLAND AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992052613",
            "telephone_number": "509-328-9787",
            "fax_number": "509-326-8095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 W GARLAND AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992052613",
            "telephone_number": "509-328-9787",
            "fax_number": "509-326-8095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD L CHARBONNEAU, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-08",
        "last_updated": "2008-07-08",
        "status": "A",
        "authorized_official_last_name": "CHARBONNEAU",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-328-9787",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WA",
            "license": "4750",
            "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 8, 2008; 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.