Pullman Family Dentistry PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8759 Issued in WA

Legal business name

PULLMAN FAMILY DENTISTRY PLLC

Practice address

840 SE Bishop Blvd Ste 204
Pullman, WA 99163-5502

Phone

(509) 332-3213

NPI assigned

Jul 31, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jack Chiang, DDSNPI 1528463825

Title

President/Dentist

Phone

(509) 332-3213

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Jack Chiang, DDS

  • General Practice Dentistry
  • Pullman, WA
  • NPI 1528463825
  NPD (past) Authorized official
• Margaret Elm Campbell, DDS

  • Dentist
  • Spokane, WA
  • NPI 1881060721
  NPD (past)

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821003237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 SE BISHOP BLVD STE 204",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991635502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 SE BISHOP BLVD STE 204",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991635502",
            "telephone_number": "509-332-3213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULLMAN FAMILY DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHIANG",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "PRESIDENT/DENTIST",
        "authorized_official_telephone_number": "509-332-3213",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "8759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Public Hospital District 1a of Whitman County (Pullman Regional Hospital)
• Pullman Anesthesia Associates PS
• Pullman Anesthesia PLLC
• Pullman Behavioral Health PLLC
• Pullman Chiropractic Clinic, PLLC (Pullman Chiropractic Clinic)
• Pullman Family Medicine
• Pullman Nursing & Rehab LLC (Pullman Care)
• Pullman Regional Hospital
• Pullman Regional Hospital
• Pullman Regional Hospital Clinic Network LLC (Palouse Pediatrics - Pullman)

• General Practice Dentistry in Pullman, WA
• Providers in Pullman, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.