5 Mile Smiles

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

5 MILE SMILES

Practice address

1625 W Francis Ave
Spokane, WA 99205-6800

Phone

(509) 326-2621

NPI assigned

Jul 19, 2016

Last updated

Jul 19, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jason Keefe

Title

Dentist/Owner

Phone

(509) 326-2621

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mary B Correll, DDS

  • Dentist
  • Spokane, WA
  • NPI 1477630655
  NPD (past)

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

{
    "created_epoch": "1468886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468886400000",
    "number": "1841643459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 W FRANCIS AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992056800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 W FRANCIS AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992056800",
            "telephone_number": "509-326-2621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "5 MILE SMILES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-19",
        "last_updated": "2016-07-19",
        "status": "A",
        "authorized_official_last_name": "KEEFE",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "509-326-2621"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• A and B Physical Therapy PLLC (South Hill Physical Therapy)
• A Blissful Haven Afh LLC
• A Brief Counseling Center
• A Brief Counseling Center

• Dental Clinic/Center in Spokane, WA
• Providers in Spokane, WA by specialty
• Dental Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2016; 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.