Latah Creek Family Dentistry

Primary specialty

DentistTaxonomy code 122300000X

License

DE00008465 Issued in WA

Legal business name

LATAH CREEK FAMILY DENTISTRY

Practice address

4001 S Cheney-Spokane Rd
Suite B
Spokane, WA 99224

Phone

(509) 455-5001

Fax

(509) 891-2787

NPI assigned

May 6, 2014

Last updated

May 6, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michelle Renee Olmstead, DDSNPI 1063523165

Title

Doctor/Owner

Phone

(509) 891-5001

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michelle Renee Olmstead, DDS

  • General Practice Dentistry
  • Liberty Lake, WA
  • NPI 1063523165
  Authorized official Same address or phone
• Jasmine Olson, DDS

  • Oral Medicine Dentistry
  • Bellevue, WA
  • NPI 1285017301
  NPD (past)

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

{
    "created_epoch": "1399334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399334400000",
    "number": "1740690247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1328 N STANFORD LN",
            "address_2": "SUITE 100",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990195034",
            "telephone_number": "509-891-5001",
            "fax_number": "509-891-2787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 S CHENEY-SPOKANE RD",
            "address_2": "SUITE B",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "99224",
            "telephone_number": "509-455-5001",
            "fax_number": "509-891-2787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LATAH CREEK FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-06",
        "last_updated": "2014-05-06",
        "status": "A",
        "authorized_official_last_name": "OLMSTEAD",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "509-891-5001",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00008465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Paul Laskovy, DO
• Brandy Marie Laskowski
• Brian Lassan
• Ryeker Lasseigne, (SUDP-T)
• Last Empire Healthcare LLC (South Hill Rehabilitation and Care Center)
• Mary K Lathrop, LMP
• Ryan Andrew Lathrop, PHARMD
• Lauren Latona
• Daniel Edward Lattin, M.D.
• Mackenzie Lauber

• Dentist in Spokane, WA
• Providers in Spokane, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2014; 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.