Active NPI
Antonio Bshara
- Dentist
- Spokane, WA
National Provider Identifier
1760254486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DE61485901
- Practice address
- 9405 N Newport Hwy
Spokane, WA 99218-1390 - Phone
- (509) 818-3657
- NPI assigned
- Oct 25, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DE61485901 | WA | Primary |
Addresses
Primary practice location
9405 N Newport Hwy
Spokane, WA 99218-1390
Mailing address
9405 N Newport Hwy
Spokane, WA 99218-1390
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
| License | State | Type | Specialty |
|---|---|---|---|
| DE61485901 | WA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698192000000",
"number": "1760254486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9405 N NEWPORT HWY",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992181390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9405 N NEWPORT HWY",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992181390",
"telephone_number": "509-818-3657"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BSHARA",
"first_name": "ANTONIO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-10-25",
"last_updated": "2023-10-25",
"certification_date": "2023-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "DE61485901",
"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 Oct 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.