Individual provider Active NPI

Kendall David Vanhorne, D.D.S., P.S.

  • General Practice Dentistry
  • Spokane, WA
National Provider Identifier
1841372091
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Practice address
5510 N Driscoll Blvd
Spokane, WA 99205-7624
Phone
(509) 328-8817
Fax
(509) 328-4046
NPI assigned
Oct 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X WA Primary

Addresses

Primary practice location

5510 N Driscoll Blvd
Spokane, WA 99205-7624

Mailing address

5510 N Driscoll Blvd
Spokane, WA 99205-7624
Phone (509) 328-8817

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160422002190 WA Order and Referring Only - DentistPractitioner - Dentist 7618276700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kendall D Vanhorne DDS, PS General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841372091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5510 N DRISCOLL BLVD",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992057624",
            "telephone_number": "509-328-8817",
            "fax_number": "509-328-4046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5510 N DRISCOLL BLVD",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992057624",
            "telephone_number": "509-328-8817",
            "fax_number": "509-328-4046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANHORNE",
        "first_name": "KENDALL",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.D.S., P.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.