Organization Active NPI

Braun & Jarvis Family Dentistry, PS

  • General Practice Dentistry
  • Spokane, WA
National Provider Identifier
1710031778
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
BRAUN & JARVIS FAMILY DENTISTRY, PS
Practice address
775 E Holland Ave
Suite 201
Spokane, WA 99218-1257
Phone
(509) 464-2391
Fax
(509) 232-0555
NPI assigned
Jan 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Carol J. Nedved
Title
Hippa Director
Phone
(509) 464-2391

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

775 E Holland Ave
Suite 201
Spokane, WA 99218-1257

Mailing address

775 E Holland Ave
Suite 201
Spokane, WA 99218-1257
Phone (509) 464-2391

Other names 1

  • Rodney D. Braun, DDS, PS Former legal business name

National Provider Directory

National Provider Directory

Locations

775 E Holland Ave
Ste 201
Spokane, WA 99218
Phone (509) 464-2391

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710031778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 E HOLLAND AVE",
            "address_2": "SUITE 201",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992181257",
            "telephone_number": "509-464-2391",
            "fax_number": "509-232-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 E HOLLAND AVE",
            "address_2": "SUITE 201",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992181257",
            "telephone_number": "509-464-2391",
            "fax_number": "509-232-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAUN & JARVIS FAMILY DENTISTRY, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NEDVED",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "HIPPA DIRECTOR",
        "authorized_official_telephone_number": "509-464-2391",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rodney D. Braun, DDS, PS",
            "code": "4",
            "type": "Former Legal Business 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 Aug 22, 2020; 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.