Nygaard Poovey, PLLC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

NYGAARD POOVEY, PLLC

Practice address

1005 N Evergreen Rd Ste 102
Spokane Valley, WA 99216-1485

Phone

(509) 927-3272

Fax

(509) 926-4320

NPI assigned

Jun 21, 2024

Organization subpart

No

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

Authorized official

Name

Jonathan Ammon

Title

Director

Phone

(509) 927-3272

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 3

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

• Laura Lee Nygaard, DDS, MS

  • Periodontics
  • Spokane Valley, WA
  • NPI 1699764134
  Medicare reassignment NPD
• Nicholas Poovey, DDS

  • Periodontics
  • Spokane Valley, WA
  • NPI 1558003889
  Medicare reassignment NPD
• Christen Bergman, D.D.S., M.S.

  • Periodontics
  • Mission Viejo, CA
  • NPI 1477962330
  NPD (past)

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

{
    "created_epoch": "1718928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718928000000",
    "number": "1699519991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 N EVERGREEN RD STE 102",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992161485",
            "telephone_number": "509-927-3272",
            "fax_number": "509-926-4320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 N EVERGREEN RD STE 102",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992161485",
            "telephone_number": "509-927-3272",
            "fax_number": "509-926-4320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NYGAARD POOVEY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-21",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A",
        "authorized_official_last_name": "AMMON",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "509-927-3272"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nurse Practitioner Integrative Health LLC
• Nurse Works LLC.
• NW Wound Care Specialists PLLC
• Jeffrey D Nye, CCC-A
• Scott W Nye, MD
• Laura Lee Nygaard, DDS, MS
• Lana Nysse, DDS
• Desire Nzisabira
• Misty O'Brien
• Joseph O'Connor

• Periodontics in Spokane Valley, WA
• Providers in Spokane Valley, WA by specialty
• Periodontics in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.