Organization Active NPI

Kirk Fuhriman PLLC

  • Dentist
  • Spokane, WA
National Provider Identifier
1790142701
Registry record updated Jan 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE00010409 Issued in WA
Legal business name
KIRK FUHRIMAN PLLC
Practice address
9302 N Colton St
Suite #100
Spokane, WA 99218-1290
Phone
(509) 863-9460
Fax
(509) 868-0428
NPI assigned
Jan 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2016

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

Authorized official

Name
Dr. Kirk E Fuhriman, DDS
Title
Owner
Phone
(509) 863-9460

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DE00010409 WA Primary

Addresses

Primary practice location

9302 N Colton St
Suite #100
Spokane, WA 99218-1290

Mailing address

9302 N Colton St
Suite #100
Spokane, WA 99218-1290
Phone (509) 863-9460

Other identifiers 1

IdentifierTypeStateIssuer
2001636MedicaidWA

Other names 1

  • Childrens Dental Village Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Childrens Dental Village2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

9302 N Colton St
Ste 100
Spokane, WA 99218
Phone (509) 863-9460

NPI Registry JSON

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

{
    "created_epoch": "1453334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453334400000",
    "number": "1790142701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9302 N COLTON ST",
            "address_2": "SUITE #100",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992181290",
            "telephone_number": "509-863-9460",
            "fax_number": "509-868-0428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9302 N COLTON ST",
            "address_2": "SUITE #100",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992181290",
            "telephone_number": "509-863-9460",
            "fax_number": "509-868-0428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRK FUHRIMAN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-21",
        "last_updated": "2016-01-21",
        "status": "A",
        "authorized_official_last_name": "FUHRIMAN",
        "authorized_official_first_name": "KIRK",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-863-9460",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00010409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2001636",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Childrens Dental Village",
            "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 Jan 21, 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.