Columbia Basin Pedicatric Dentistry

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DE00007618 Issued in WA

Legal business name

COLUMBIA BASIN PEDICATRIC DENTISTRY

Practice address

7501 W Deschutes PL
Kennewick, WA 99336-7719

Phone

(509) 783-1960

NPI assigned

Oct 17, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Larry W Loveridge

Title

Owner

Phone

(509) 783-1960

Specialties & licenses 3

Addresses

Other identifiers 2

Tax ID family

Columbia Basin Pedicatric Dentistry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Gill, Ritchie, Walker PLLC

  • Ambulatory Surgical Clinic/Center
  • Richland, WA
  • NPI 1700969391
  NPD tax ID

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871673301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7501 W DESCHUTES PL",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7501 W DESCHUTES PL",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367719",
            "telephone_number": "509-783-1960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA BASIN PEDICATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOVERIDGE",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-783-1960",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WA",
            "license": "DE00007618",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WA",
            "license": "DE00008974",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WA",
            "license": "DE00009527",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SURGICAL CENTER",
            "identifier": "AB32234",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5036876",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexandria Collins
• Skylar William-Dean Collins
• Columbia Basin Companion Care, LLC
• Columbia Basin Hearing Center LLC
• Columbia Basin Hematology & Oncology PLLC
• Columbia Basin Prosthetics & Orthotics, Inc.
• Columbia Basin Psychiatric Solutions PLLC
• Columbia Birth Center
• Columbia Chiropractic LLC
• Columbia Crest Eye Care

• Pediatric Dentistry in Kennewick, WA
• Providers in Kennewick, WA by specialty
• Pediatric Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.