Active NPI
Charles E Toillion, DDS
- Pediatric Dentistry
- Spokane, WA
National Provider Identifier
1669550778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 8263
- Practice address
- 605 E Holland Ave Ste 222
Spokane, WA 99218-1246 - Phone
- (509) 755-5437
- Fax
- (509) 755-0444
- NPI assigned
- Nov 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 8263 | WA | Primary |
Addresses
Primary practice location
605 E Holland Ave Ste 222
Spokane, WA 99218-1246
Mailing address
1405 E South Ridge CT
Spokane, WA 99223-6700
Phone (509) 448-6695
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5036355 | Medicaid | WA | |
| 5038195 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8263 | WA | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1669550778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1405 E SOUTH RIDGE CT",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992236700",
"telephone_number": "509-448-6695",
"fax_number": "509-755-0444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "605 E HOLLAND AVE STE 222",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992181246",
"telephone_number": "509-755-5437",
"fax_number": "509-755-0444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOILLION",
"first_name": "CHARLES",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-02",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "WA",
"license": "8263",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5036355",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5038195",
"state": "WA"
}
],
"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 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.