Active NPI
Logan Hazard, DMD
- Dentist
- Post Falls, ID
National Provider Identifier
1942581749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D-4401
- Practice address
- 1850 E Seltice Way
Post Falls, ID 83854-7019 - Phone
- (208) 777-0292
- NPI assigned
- Sep 7, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DE 60230317 | WA | |
| Dentist | 122300000X | D-4401 | ID | Primary |
Addresses
Primary practice location
1850 E Seltice Way
Post Falls, ID 83854-7019
Mailing address
1850 E Seltice Way
Post Falls, ID 83854-7019
Phone (208) 777-0292
Other practice location 1
731 N Iron Bridge Way
Spokane, WA 99202-4926
Phone (509) 444-8200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160812000263 | ID | Order and Referring Only - Dentist | 6709170889 |
Care Compare profile
Medicare Care Compare- Specialty
- Dentist
- Education
- Case Western University School of Dental Medicine, 2011
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Suite 1387
Hayden, ID 83835
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE 60230317 | WA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780444800000",
"number": "1942581749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1850 E SELTICE WAY",
"city": "POST FALLS",
"state": "ID",
"postal_code": "838547019",
"telephone_number": "208-777-0292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1850 E SELTICE WAY",
"city": "POST FALLS",
"state": "ID",
"postal_code": "838547019",
"telephone_number": "208-777-0292"
}
],
"practiceLocations": [
{
"address_1": "731 N Iron Bridge Way",
"address_purpose": "LOCATION",
"city": "Spokane",
"state": "WA",
"postal_code": "992024926",
"country_code": "US",
"telephone_number": "509-444-8200",
"fax_number": "509-434-0392",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAZARD",
"first_name": "LOGAN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-09-07",
"last_updated": "2026-06-03",
"certification_date": "2026-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "DE 60230317",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "ID",
"license": "D-4401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Post Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.