Organization Active NPI

Todd Rogers DDS

  • General Practice Dentistry
  • Spokane, WA
National Provider Identifier
1780036814
Registry record updated Jul 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE00006531 Issued in WA
Legal business name
TODD ROGERS DDS
Doing business as
Smiles of Spokane
Practice address
3606 S Regal St
Spokane, WA 99223-4648
Phone
(509) 838-4165
Fax
(509) 838-6959
NPI assigned
Jul 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2016

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

Authorized official

Name
Felisha Pederson
Title
Manager
Phone
(509) 838-4165

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X DE00006531 WA Primary
Dental HygienistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 124Q00000X DH00006298 WA

Addresses

Primary practice location

3606 S Regal St
Spokane, WA 99223-4648

Mailing address

3606 S Regal St
Spokane, WA 99223-4648
Phone (509) 838-4165

Other names 1

  • Smiles of Spokane Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1468368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468368000000",
    "number": "1780036814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3606 S REGAL ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992234648",
            "telephone_number": "509-838-4165",
            "fax_number": "509-838-6959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3606 S REGAL ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992234648",
            "telephone_number": "509-838-4165",
            "fax_number": "509-838-6959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TODD ROGERS DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-13",
        "last_updated": "2016-07-13",
        "status": "A",
        "authorized_official_last_name": "PEDERSON",
        "authorized_official_first_name": "FELISHA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "509-838-4165"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00006531",
            "primary": true
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dental Hygienist",
            "state": "WA",
            "license": "DH00006298",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smiles of Spokane",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 13, 2016; 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.