Individual provider Active NPI

Hayley Denison, DDS

  • Endodontics
  • Spokane Valley, WA
National Provider Identifier
1780201368
Registry record updated Jun 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
DE60981884 Issued in WA
Practice address
1005 N Evergreen Rd Ste 201
Spokane Valley, WA 99216-1485
Phone
(509) 921-5666
NPI assigned
Jun 30, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223E0200X DE60981884 WA Primary

Addresses

Primary practice location

1005 N Evergreen Rd Ste 201
Spokane Valley, WA 99216-1485

Mailing address

5105 W Depot Springs Rd
Cheney, WA 99004-9321
Phone (509) 263-1444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241007000003 WA Order and Referring Only - EndodonticsPractitioner - Endodontics 7012448723

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ellingsen and Denison Endodontics, PLLC Endodontics CurrentSince Nov 28, 2021 Accepting new patients
Ellingsen Endodontics PLLC Endodontics PastSince Jul 5, 2020 Accepting new patients

Locations

1005 N Evergreen Rd
Ste 201
Spokane Valley, WA 99216
Phone (509) 921-5666

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1593475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593475200000",
    "number": "1780201368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5105 W DEPOT SPRINGS RD",
            "city": "CHENEY",
            "state": "WA",
            "postal_code": "990049321",
            "telephone_number": "509-263-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 N EVERGREEN RD STE 201",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992161485",
            "telephone_number": "509-921-5666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENISON",
        "first_name": "HAYLEY",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-30",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "WA",
            "license": "DE60981884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane Valley, WA

Sources for this page

Verify at the official NPI Registry.