NPIMap

Organization Active NPI

Moses Lake Pediatric Dentistry

  • Pediatric Dentistry
  • Moses Lake, WA
National Provider Identifier
1861826489
Registry record updated Aug 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
00010971 Issued in WA
Legal business name
MOSES LAKE PEDIATRIC DENTISTRY
Practice address
800 N Stratford Rd
Moses Lake, WA 98837-1512
Phone
(509) 765-2255
NPI assigned
Aug 30, 2013
Organization subpart
Yes
Parent organization
WENATCHEE PEDATRIC DENTISTRYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 30, 2013

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

Authorized official

Name
Dr. Geoffrey T Ping, DDS
Title
Owner/President
Phone
(509) 664-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 00010971 WA Primary

Addresses

Primary practice location

800 N Stratford Rd
Moses Lake, WA 98837-1512

Mailing address

800 N Stratford Rd
Moses Lake, WA 98837-1512
Phone (509) 765-2255

National Provider Directory

National Provider Directory
Tax ID family
Moses Lake Pediatric Dentistry2 organizations share this tax ID, including this one
Part of
Moses Lake Pediatric Dentistry

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1377820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377820800000",
    "number": "1861826489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 N STRATFORD RD",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988371512",
            "telephone_number": "509-765-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 N STRATFORD RD",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988371512",
            "telephone_number": "509-765-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSES LAKE PEDIATRIC DENTISTRY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WENATCHEE PEDATRIC DENTISTRY",
        "enumeration_date": "2013-08-30",
        "last_updated": "2013-08-30",
        "status": "A",
        "authorized_official_last_name": "PING",
        "authorized_official_first_name": "GEOFFREY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "509-664-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WA",
            "license": "00010971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moses Lake, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2013; 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.