NPIMap

Organization Active NPI

Latah Creek Family Dentistry

  • Dentist
  • Spokane, WA
National Provider Identifier
1740690247
Registry record updated May 6, 2014
On this page

Key facts

NPPES NPI Registry
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
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2014

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

Authorized official

Name
Michelle Renee Olmstead, DDS
Title
Doctor/Owner
Phone
(509) 891-5001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DE00008465 WA Primary

Addresses

Primary practice location

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

Mailing address

1328 N Stanford LN
Suite 100
Liberty Lake, WA 99019-5034
Phone (509) 891-5001

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "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": []
}

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 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.