Douglas Scott Mackay, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE 00010046 Issued in WA

Practice address

2510 N Pines Rd
Suite 204
Spokane Valley, WA 99206-7636

Phone

(509) 891-8700

Fax

(509) 891-0899

NPI assigned

Dec 26, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1198627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198627200000",
    "number": "1831373828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 N PINES RD",
            "address_2": "SUITE 204",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992067636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 N PINES RD",
            "address_2": "SUITE 204",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992067636",
            "telephone_number": "509-891-8700",
            "fax_number": "509-891-0899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKAY",
        "first_name": "DOUGLAS",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-26",
        "last_updated": "2007-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE 00010046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Lyons, LICSW
• Theresa G Lystad, L.M.P.
• Lisa Machado, MSPT
• Michelle Macharia
• Alan Machtmes, PTA/LMP
• John S Mackay, DN
• Julia Mackesy
• Tonya R Mackey, LMP
• Wilfred Alex Madarang, M.D.
• Tracy Ann Madatian, REGISTERED NURSE

• General Practice Dentistry in Spokane Valley, WA
• Providers in Spokane Valley, 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 Dec 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.