NPIMap

Organization Active NPI

Mark a Woodward DMD PS

  • Dental Clinic/Center
  • Spokane, WA
National Provider Identifier
1790106359
Registry record updated Dec 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DE9064 Issued in WA
Legal business name
MARK A WOODWARD DMD PS
Practice address
510 E Hastings Rd
Suite a
Spokane, WA 99218-1900
Phone
(509) 467-0755
Fax
(509) 467-8227
NPI assigned
Dec 30, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2013

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

Authorized official

Name
Dr. Mark Allan Woodward, DMDNPI 1093885550
Title
Dentist
Phone
(509) 467-0755

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DE9064 WA Primary

Addresses

Primary practice location

510 E Hastings Rd
Suite a
Spokane, WA 99218-1900

Mailing address

510 E Hastings Rd
Suite a
Spokane, WA 99218-1900
Phone (509) 467-0755

National Provider Directory

National Provider Directory

Locations

510 E Hastings Rd
#A
Spokane, WA 99218
Phone (509) 467-0755

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": "1388361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388361600000",
    "number": "1790106359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 E HASTINGS RD",
            "address_2": "SUITE A",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992181900",
            "telephone_number": "509-467-0755",
            "fax_number": "509-467-8227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 E HASTINGS RD",
            "address_2": "SUITE A",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992181900",
            "telephone_number": "509-467-0755",
            "fax_number": "509-467-8227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK A WOODWARD DMD PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-30",
        "last_updated": "2013-12-30",
        "status": "A",
        "authorized_official_last_name": "WOODWARD",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ALLAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "509-467-0755",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "DE9064",
            "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 Dec 30, 2013; 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.