Individual provider Active NPI

David John Joosten, M.D.

  • Pediatrics Physician
  • Spokane, WA
National Provider Identifier
1902884869
Registry record updated Nov 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD00040490 Issued in WA
Practice address
5011 W Lowell Ave Ste 100
Spokane, WA 99208-8587
Phone
(509) 385-0610
Fax
(509) 227-7070
NPI assigned
Jan 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD00040490 WA Primary

Addresses

Primary practice location

5011 W Lowell Ave Ste 100
Spokane, WA 99208-8587

Mailing address

PO Box 421
Liberty Lake, WA 99019-0421
Phone (509) 474-3568

Other practice location 1

1111 E Westview Ct Ste B
Spokane, WA 99218-1376
Phone (509) 626-9430

Other practice location 2

1706 Meridian S
Suite 120
Puyallup, WA 98371-7516
Phone (253) 848-8797

Other identifiers 1

IdentifierTypeStateIssuer
8287823OtherWADSHS NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address djoosten1673023@wm.providencedirect.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180122003289 WA Practitioner - Pediatric Medicine 2961761820 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System CurrentSince Jan 1, 2018 Accepting new patients
Multicare Health System CurrentSince Jan 1, 2018 Accepting new patients
Multicare Health System Current Accepting new patients
Providence Health & Services Washington CurrentSince May 24, 2021 Accepting new patients
Providence Health & Services - Washington Past Accepting new patients
Providence Health & Services - Wa Past Accepting new patients

Locations

1200 E Columbia Ave
Colville, WA 99114
Phone (509) 684-3701

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

1706 S Meridian
Ste 120
Puyallup, WA 98371
Phone (253) 848-8797

8925 N Indian Trail Rd
Spokane, WA 99208
Phone (509) 352-7543

1111 E Westview Ct
Ste B
Spokane, WA 99218
Phone (509) 244-3627

5011 W Lowell Ave
Ste 100
Spokane, WA 99208
Phone (509) 385-0610

Interoperability endpoints

  • Direct secure messaging: djoosten1673023@wm.providencedirect.org
  • Direct secure messaging: djoostenmd5155@direct.multicare.org

Organizations & group practices 6

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": "1136160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636329600000",
    "number": "1902884869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 421",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990190421",
            "telephone_number": "509-474-3568",
            "fax_number": "509-227-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5011 W LOWELL AVE STE 100",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992088587",
            "telephone_number": "509-385-0610",
            "fax_number": "509-227-7070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 E Westview Ct Ste B",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992181376",
            "country_code": "US",
            "telephone_number": "509-626-9430",
            "fax_number": "509-227-7070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1706 Meridian S",
            "address_2": "Suite 120",
            "address_purpose": "LOCATION",
            "city": "Puyallup",
            "state": "WA",
            "postal_code": "983717516",
            "country_code": "US",
            "telephone_number": "253-848-8797",
            "fax_number": "253-446-3239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOOSTEN",
        "first_name": "DAVID",
        "middle_name": "JOHN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-02",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "MD00040490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DSHS NUMBER",
            "identifier": "8287823",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "djoosten1673023@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5011 W Lowell Ave Ste 100",
            "city": "Spokane",
            "state": "WA",
            "country_code": "US",
            "postal_code": "992088587",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.