Pediatric Dental Anesthesiologists PLLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

PEDIATRIC DENTAL ANESTHESIOLOGISTS PLLC

Practice address

9711 N Nevada St
Spokane, WA 99218-3412

Phone

(509) 755-5437

NPI assigned

May 29, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Gerard Gunselman Sr., DONPI 1215943162

Title

Member

Phone

(509) 212-8098

Specialties & licenses 1

Addresses

Other names 1

• PDA Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph G Gunselman, DO

  • Anesthesiology Physician
  • Spokane, WA
  • NPI 1215943162
  NPD Authorized official

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

{
    "created_epoch": "1685318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685318400000",
    "number": "1811680705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 W COMSTOCK CT",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992031408",
            "telephone_number": "509-212-8098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9711 N NEVADA ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992183412",
            "telephone_number": "509-755-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC DENTAL ANESTHESIOLOGISTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-29",
        "last_updated": "2023-05-29",
        "certification_date": "2023-05-28",
        "status": "A",
        "authorized_official_last_name": "GUNSELMAN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "GERARD",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "509-212-8098",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PDA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brad William Pederson, B.A
• Mary R Pederson, BA
• Pediatric Associates of Spokane
• Pediatric Critical Care Associates PS
• Pediatric Dental Anesthesiologists
• Pediatric Orthotic and Prosthetic Services - Northwest, LLC
• Pedipod PLLC
• David Michael Peek, M.D.
• Peer Washington
• Hallie Ashlyn Peery

• Anesthesiology Physician in Spokane, WA
• Providers in Spokane, WA by specialty
• Anesthesiology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2023; 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.