Active NPI
Tyler S Shoemaker, DMD
- General Practice Dentistry
- Spokane, WA
National Provider Identifier
1861465007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DE00009933
- Practice address
- 101 W Cascade Way
#101
Spokane, WA 99208-6000 - Phone
- (509) 468-0490
- Fax
- (509) 468-1814
- NPI assigned
- Feb 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DE00009933 | WA | Primary |
Addresses
Primary practice location
101 W Cascade Way
#101
Spokane, WA 99208-6000
Mailing address
101 W Cascade Way
#101
Spokane, WA 99208-6000
Phone (509) 468-0490
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE00009933 | WA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tyler Shoemaker,DMD,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": "1139356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197417600000",
"number": "1861465007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 W CASCADE WAY",
"address_2": "#101",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992086000",
"telephone_number": "509-468-0490",
"fax_number": "509-468-1814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 W CASCADE WAY",
"address_2": "#101",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992086000",
"telephone_number": "509-468-0490",
"fax_number": "509-468-1814"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHOEMAKER",
"first_name": "TYLER",
"middle_name": "S",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-08",
"last_updated": "2007-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WA",
"license": "DE00009933",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spokane, WA
- Shoemaker Ghorbanian I PLLC (Sunrise Dental of Spokane)
- Shoemaker Ghorbanian II PLLC (Sunrise Dental of North Spokane)
- Jeffrey Leon Shoemaker, DC
- Madison Elise Shoemaker
- Sidni Brianna Shoemaker, ARNP
- Sarah Louise Shogren, DPM
- Trisha Katherine Shogren
- Michael Leonard Sholtz
- Josh Shomate
- Linda Ann Shook, LMHC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.