Spokane Oral Surgery ASC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SPOKANE ORAL SURGERY ASC

Practice address

12109 E Broadway Ave Ste C
Spokane Valley, WA 99206-6133

Phone

(509) 242-3336

Fax

(866) 554-1392

NPI assigned

Oct 13, 2015

Organization subpart

Yes

Parent organization

SPOKANE ORAL SURGERYAs reported in NPPES

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

Authorized official

Name

Dr. Mark Christopher Paxton, DDS

Title

Owner

Phone

(509) 242-3336

Specialties & licenses 1

Addresses

Part of

Mark C Paxton DDS PS

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

{
    "created_epoch": "1444694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444694400000",
    "number": "1881065076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12109 E BROADWAY AVE STE C",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992066133",
            "telephone_number": "509-242-3336",
            "fax_number": "866-554-1392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12109 E BROADWAY AVE STE C",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992066133",
            "telephone_number": "509-242-3336",
            "fax_number": "866-554-1392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPOKANE ORAL SURGERY ASC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPOKANE ORAL SURGERY",
        "enumeration_date": "2015-10-13",
        "last_updated": "2015-10-13",
        "status": "A",
        "authorized_official_last_name": "PAXTON",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-242-3336",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spokane of Cascadia, LLC (Spokane Valley Health and Rehabilitation of Cascadia)
• Spokane of Olympus, LLC
• Spokane Oms
• Spokane Optical Company LLC (Spokane Optical Company)
• Spokane Oral and Maxillofacial Surgery ASC
• Spokane Podiatry PS (Medical Foot Center)
• Spokane Podiatry PS (Medical Foot Center)
• Spokane River Birth Center
• Spokane River Family Wellness PLLC
• Spokane Sinal Decompression Center PS

• Ambulatory Surgical Clinic/Center in Spokane Valley, WA
• Providers in Spokane Valley, WA by specialty
• Ambulatory Surgical Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2015; 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.