Specialty Denture Service Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SPECIALTY DENTURE SERVICE INC

Practice address

12501 S Keeney Rd
Spokane, WA 99224-9205

Phone

(509) 999-0615

NPI assigned

Feb 13, 2019

Organization subpart

No

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

Authorized official

Name

Lori Neurene PechaNPI 1063577245

Title

Licensed Denturist

Phone

(509) 999-0615

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Specialty Denture Service Inc Doing business as

Practitioners 1

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

• Lori Neurene Pecha, L.D.

  • Denturist
  • Spokane, WA
  • NPI 1063577245
  NPD (past) Authorized official

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

{
    "created_epoch": "1550016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550016000000",
    "number": "1639635709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12501 S KEENEY RD",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992249205",
            "telephone_number": "509-999-0615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12501 S KEENEY RD",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992249205",
            "telephone_number": "509-999-0615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALTY DENTURE SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-13",
        "last_updated": "2019-02-13",
        "status": "A",
        "authorized_official_last_name": "PECHA",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "NEURENE",
        "authorized_official_title_or_position": "LICENSED DENTURIST",
        "authorized_official_telephone_number": "509-999-0615"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1063577245",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Specialty Denture Service Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda Spayde-Baker
• Speak Volumes PLLC
• Tattiana Spears
• Crystal Lee Kuyana Specht, LMHC
• Special Mobility Services
• Tabitha Jo Al Spedding
• Jenni Spedick
• Speech by Emily LLC
• Amanda Marie Speer, LMHC
• Brenna Wray Speerbrecher

• Dental Clinic/Center in Spokane, WA
• Providers in Spokane, WA by specialty
• Dental Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2019; 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.