Active NPI
Becky Van Gemert Coombs, D.D.S.
- Pediatric Dentistry
- Spokane, WA
National Provider Identifier
1710029376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 10216
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5050166 | Medicaid | WA |
Other names 1
- Becky Cook Van Gemert
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 |
|---|---|---|---|
| 10216 | WA | MD | Pediatric 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.