Organization Active NPI

Office Anesthesia & Dental Surgery

  • Anesthesiology Physician
  • Spokane, WA
National Provider Identifier
1760690341
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
OFFICE ANESTHESIA & DENTAL SURGERY
Practice address
3143 E 29TH Ave
Spokane, WA 99223-4815
Phone
(509) 536-5900
Fax
(509) 534-1015
NPI assigned
May 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Eugene B Pester, DDS
Title
Member - Owner
Phone
(509) 536-5900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

3143 E 29TH Ave
Spokane, WA 99223-4815

Mailing address

3143 E 29TH Ave
Spokane, WA 99223-4815
Phone (509) 536-5900

Other identifiers 1

IdentifierTypeStateIssuer
5044599MedicaidWA

Other names 1

  • Eugene Pester DDS & Marvin Gee DDS Other name

National Provider Directory

National Provider Directory
Tax ID family
Office Anesthesia Dental Surgery4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3143 E 29th Ave
Spokane, WA 99223
Phone (509) 535-1705

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760690341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3143 E 29TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992234815",
            "telephone_number": "509-536-5900",
            "fax_number": "509-534-1015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3143 E 29TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992234815",
            "telephone_number": "509-536-5900",
            "fax_number": "509-534-1015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OFFICE ANESTHESIA & DENTAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PESTER",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MEMBER - OWNER",
        "authorized_official_telephone_number": "509-536-5900",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5044599",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eugene Pester DDS & Marvin Gee DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Aug 22, 2020; 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.