Organization Active NPI

Dawnmd LLC

Doing business as DawnMD

  • Family Medicine Physician
  • Pullman, WA
National Provider Identifier
1669097127
Registry record updated Jun 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
DAWNMD LLC
Doing business as
DawnMD
Practice address
540 E Main St Ste a
Pullman, WA 99163-2660
Phone
(509) 566-9779
NPI assigned
Jun 10, 2020
Last updated
Jun 10, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2020

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

Authorized official

Name
Shaleah D Jones, MDNPI 1306871603
Title
Physician/Owner
Phone
(509) 566-9779

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
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

540 E Main St Ste a
Pullman, WA 99163-2660

Mailing address

540 E Main St Ste a
Pullman, WA 99163-2660
Phone (509) 566-9779

Other names 1

  • DawnMD Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D2189197Dawnmd540 E Main St Ste a, Pullman, WA 99163Provider-performed microscopyApr 4, 2028

National Provider Directory

National Provider Directory

Locations

540 E Main St
Apt A
Pullman, WA 99163
Phone (509) 309-0929

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1591747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591747200000",
    "number": "1669097127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 E MAIN ST STE A",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991632660",
            "telephone_number": "509-566-9779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 E MAIN ST STE A",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991632660",
            "telephone_number": "509-566-9779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAWNMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-10",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "SHALEAH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "509-566-9779",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DawnMD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pullman, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.