South Hill Pediatric Dentistry

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DE60058099 Issued in WA

Legal business name

SOUTH HILL PEDIATRIC DENTISTRY

Practice address

2020 E 29TH Avenue
130
Spokane, WA 99203

Phone

(616) 485-6911

NPI assigned

Sep 22, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Erin L Johnson, DDS, MS

Title

Pediatric Dentist, Owner

Phone

(616) 485-6911

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1285113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285113600000",
    "number": "1942518154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2403 S CORBIN CT",
            "city": "GREENACRES",
            "state": "WA",
            "postal_code": "990167749",
            "telephone_number": "616-485-6911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 E 29TH AVENUE",
            "address_2": "130",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "99203",
            "telephone_number": "616-485-6911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH HILL PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-22",
        "last_updated": "2010-09-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST, OWNER",
        "authorized_official_telephone_number": "616-485-6911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WA",
            "license": "DE60058099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Sousley, MD
• South Hill Ambulatory Surgical Center PS
• South Hill Counseling, LLC
• South Hill Family Dental
• South Hill Foot & Ankle Clinic PS
• South Hill Periodontics
• South Hill Spinal Care
• South Hill Spinal Care,LLC
• South Perry Endoscopy PLLC
• South Perry Endoscopy PLLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2010; 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.