Joseph P. Kincaid, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD00029893 Issued in WA

Legal business name

JOSEPH P. KINCAID, M.D.

Practice address

1402 S Grand Blvd
Spokane, WA 99203-2247

Phone

(509) 455-8220

Fax

(509) 455-9172

NPI assigned

Apr 2, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Joseph Paul Kincaid, M.D.

Title

Owner

Phone

(509) 455-8220

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• dba Grand Pediatrics Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740301498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1402 S GRAND BLVD",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992032247",
            "telephone_number": "509-455-8220",
            "fax_number": "509-455-9172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 S GRAND BLVD",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992032247",
            "telephone_number": "509-455-8220",
            "fax_number": "509-455-9172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH P. KINCAID, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KINCAID",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-455-8220",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "MD00029893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7088651",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0033046",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dba Grand Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Timothy W Jordan, MD
• Eva Marie Jorden, CRNA
• Laura Jane Joreteg, M.D.
• Thomas Jorgensen
• Susanna Jorgenson
• Joseph W. Braun, O.D. and Associates, LLC
• Lady Sarah Joseph, LMSW
• Samuel Greg Joseph, D.O.
• Samuel Robert Josephsen, MD
• Joshua L Johnson, DDS, Ms, PLLC

• Pediatrics Physician in Spokane, WA
• Providers in Spokane, WA by specialty
• Pediatrics Physician in Washington

• 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.