Individual provider Active NPI

Becky Van Gemert Coombs, D.D.S.

  • Pediatric Dentistry
  • Spokane, WA
National Provider Identifier
1710029376
Registry record updated Mar 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
10216 Issued in WA
Practice address
2020 E 29TH Ave
Suite 130
Spokane, WA 99203-3957
Phone
(509) 315-8500
Fax
(509) 443-5456
NPI assigned
Feb 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 10216 WA Primary
Dentist 122300000X 10216 WA

Addresses

Primary practice location

2020 E 29TH Ave
Suite 130
Spokane, WA 99203-3957

Mailing address

2020 E 29TH Ave
Suite 130
Spokane, WA 99203-3957
Phone (509) 315-8500

Other identifiers 1

IdentifierTypeStateIssuer
5050166MedicaidWA

Other names 1

  • Becky Cook Van Gemert Former name

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

LicenseStateTypeSpecialty
10216WAMDPediatric Dentist

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299456000000",
    "number": "1710029376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 E 29TH AVE",
            "address_2": "SUITE 130",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992033957",
            "telephone_number": "509-315-8500",
            "fax_number": "509-443-5456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 E 29TH AVE",
            "address_2": "SUITE 130",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992033957",
            "telephone_number": "509-315-8500",
            "fax_number": "509-443-5456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOMBS",
        "first_name": "BECKY",
        "middle_name": "VAN GEMERT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2011-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WA",
            "license": "10216",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "10216",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5050166",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BECKY",
            "last_name": "VAN GEMERT",
            "middle_name": "COOK",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Mar 7, 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.