Active NPI
Joseph John Pawlusiak, DDS
- Endodontics
- Spokane, WA
National Provider Identifier
1811070501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- DE00007018
- Practice address
- 3919 N Maple St
Spokane, WA 99205 - Phone
- (509) 444-8888
- Fax
- (509) 444-7806
- NPI assigned
- Oct 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | DE00007018 | WA | Primary |
| Dentist | 122300000X | 7018 | WA |
Addresses
Primary practice location
3919 N Maple St
Spokane, WA 99205
Mailing address
203 N Washington St Ste 300
Spokane, WA 99201-0254
Phone (509) 444-8888
Other practice location 1
15 East Central
Spokane, WA 99208
Phone (509) 483-2080
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7018 | WA | MD | Dentist |
| DE00007018 | WA | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552608000000",
"number": "1811070501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 N WASHINGTON ST STE 300",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992010254",
"telephone_number": "509-444-8888",
"fax_number": "509-444-7806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3919 N MAPLE ST",
"city": "SPOKANE",
"state": "WA",
"postal_code": "99205",
"telephone_number": "509-444-8888",
"fax_number": "509-444-7806"
}
],
"practiceLocations": [
{
"address_1": "15 East Central",
"address_purpose": "LOCATION",
"city": "Spokane",
"state": "WA",
"postal_code": "99208",
"country_code": "US",
"telephone_number": "509-483-2080",
"fax_number": "509-483-2176",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PAWLUSIAK",
"first_name": "JOSEPH",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-24",
"last_updated": "2019-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "WA",
"license": "DE00007018",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "7018",
"primary": false
}
],
"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 Mar 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.