NPIMap

Organization Active NPI

Ideal Option, PLLC

  • Clinic/Center
  • Walla Walla, WA
National Provider Identifier
1699286724
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
IDEAL OPTION, PLLC
Practice address
401 W Main St Ste 405
Walla Walla, WA 99362-2837
Phone
(509) 222-1275
Fax
(509) 491-3031
NPI assigned
Oct 16, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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

Authorized official

Name
Brian Jefferson Dawson, MD
Title
Cmo
Phone
(509) 222-1275

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QA0401X
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

401 W Main St Ste 405
Walla Walla, WA 99362-2837

Mailing address

8656 W Gage Blvd Ste 301B
Kennewick, WA 99336-7145
Phone (509) 222-1275

Other identifiers 1

IdentifierTypeStateIssuer
2031254MedicaidWA

National Provider Directory

National Provider Directory
Tax ID family
Ideal Option90 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1508112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693353600000",
    "number": "1699286724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8656 W GAGE BLVD STE 301B",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367145",
            "telephone_number": "509-222-1275",
            "fax_number": "509-491-3031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W MAIN ST STE 405",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993622837",
            "telephone_number": "509-222-1275",
            "fax_number": "509-491-3031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL OPTION, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-16",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A",
        "authorized_official_last_name": "DAWSON",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "JEFFERSON",
        "authorized_official_title_or_position": "CMO",
        "authorized_official_telephone_number": "509-222-1275",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2031254",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Walla Walla, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; 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.