Organization Active NPI

Lincoln Heights Dental Center

  • General Practice Dentistry
  • Spokane, WA
National Provider Identifier
1699070466
Registry record updated Jan 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE00005661 Issued in WA
Legal business name
LINCOLN HEIGHTS DENTAL CENTER
Practice address
2656 E 29TH Ave
Spokane, WA 99223-4864
Phone
(509) 535-7791
Fax
(509) 535-1833
NPI assigned
Jan 25, 2011
Last updated
Jan 25, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2011

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

Authorized official

Name
Mrs. Kelly Shilling
Title
Office Manager
Phone
(509) 535-7791

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DE00005661 WA Primary

Addresses

Primary practice location

2656 E 29TH Ave
Spokane, WA 99223-4864

Mailing address

2656 E 29TH Ave
Spokane, WA 99223-4864
Phone (509) 535-7791

National Provider Directory

National Provider Directory

Locations

2656 E 29th Ave
Spokane, WA 99223
Phone (509) 435-6168

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": "1295913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295913600000",
    "number": "1699070466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2656 E 29TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992234864",
            "telephone_number": "509-535-7791",
            "fax_number": "509-535-1833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2656 E 29TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992234864",
            "telephone_number": "509-535-7791",
            "fax_number": "509-535-1833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN HEIGHTS DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-25",
        "last_updated": "2011-01-25",
        "status": "A",
        "authorized_official_last_name": "SHILLING",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "509-535-7791",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00005661",
            "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 Jan 25, 2011; 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.