Individual provider Active NPI

Bryant Zollinger

  • General Practice Dentistry
  • Spokane, WA
National Provider Identifier
1720426216
Registry record updated Jul 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE60606819 Issued in WA
Practice address
3022 E 57TH Ave Ste 10
Spokane, WA 99223-7033
Phone
(509) 443-8910
NPI assigned
Jun 6, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DE60606819 WA Primary

Addresses

Primary practice location

3022 E 57TH Ave Ste 10
Spokane, WA 99223-7033

Mailing address

4415 S Henrys Fork LN
Spokane Valley, WA 99206-7082
Phone (509) 808-8815

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
DE60606819WAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Zollinger, PLLC CurrentSince Jul 25, 2021 Accepting new patients
Dr. B Zollinger PLLC General Practice CurrentSince Sep 3, 2025 Accepting new patients

Locations

3022 E 57th Ave
Ste 10
Spokane, WA 99223
Phone (509) 443-8910

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1370476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626739200000",
    "number": "1720426216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4415 S HENRYS FORK LN",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992067082",
            "telephone_number": "509-808-8815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3022 E 57TH AVE STE 10",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992237033",
            "telephone_number": "509-443-8910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOLLINGER",
        "first_name": "BRYANT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-06",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60606819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 20, 2021; 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.