NPIMap

Organization Active NPI

Michael a Trantow DDS PS

  • Dental Hygienist
  • Spokane, WA
National Provider Identifier
1821197989
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
DH00005591 Issued in WA
Legal business name
MICHAEL A TRANTOW DDS PS
Practice address
12121 E Broadway
BLDG III
Spokane, WA 99206
Phone
(509) 928-3363
Fax
(509) 924-7680
NPI assigned
Sep 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Lynn K Trantow
Title
Bookkeeper
Phone
(509) 928-3363

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X DE00005493 WA
Dental HygienistGroup: 193200000X MULTI-SPECIALTY GROUP 124Q00000X DH00001414 WA
Dental HygienistGroup: 193200000X MULTI-SPECIALTY GROUP 124Q00000X DH00005591 WA Primary

Addresses

Primary practice location

12121 E Broadway
BLDG III
Spokane, WA 99206

Mailing address

12121 E Broadway
BLDG III
Spokane, WA 99206
Phone (509) 928-3363

Other identifiers 1

IdentifierTypeStateIssuer
5561006MedicaidWA

National Provider Directory

National Provider Directory

Locations

12121 E Broadway Ave
Bldg Iii
Spokane Valley, WA 99206
Phone (509) 928-3363

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": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1821197989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12121 E BROADWAY",
            "address_2": "BLDG III",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "99206",
            "telephone_number": "509-928-3363",
            "fax_number": "509-924-7680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12121 E BROADWAY",
            "address_2": "BLDG III",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "99206",
            "telephone_number": "509-928-3363",
            "fax_number": "509-924-7680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL A TRANTOW DDS PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "TRANTOW",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "BOOKKEEPER",
        "authorized_official_telephone_number": "509-928-3363"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00005493",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dental Hygienist",
            "state": "WA",
            "license": "DH00001414",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dental Hygienist",
            "state": "WA",
            "license": "DH00005591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5561006",
            "state": "WA"
        }
    ],
    "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 Sep 11, 2025; 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.