NPIMap

Organization Active NPI

Moses Lake Pediatric Dentistry

  • Pediatric Dentistry
  • Moses Lake, WA
National Provider Identifier
1942657952
Registry record updated May 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DE60331610 Issued in WA
Legal business name
MOSES LAKE PEDIATRIC DENTISTRY
Practice address
800 N Stratford Rd
Moses Lake, WA 98837-1512
Phone
(509) 765-2255
Fax
(509) 765-1155
NPI assigned
May 19, 2016
Last updated
May 19, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2016

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

Authorized official

Name
Dr. Stanley Hamilton Cox, DMD, PSNPI 1851632749
Title
Owner
Phone
(509) 765-2255

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X DE60331610 WA
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X DE60331610 WA Primary

Addresses

Primary practice location

800 N Stratford Rd
Moses Lake, WA 98837-1512

Mailing address

800 N Stratford Rd
Moses Lake, WA 98837-1512
Phone (509) 765-2255

Other identifiers 1

IdentifierTypeStateIssuer
2050514MedicaidWA

National Provider Directory

National Provider Directory

Locations

800 N Stratford Rd
Moses Lake, WA 98837
Phone (509) 765-2255

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1463616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463616000000",
    "number": "1942657952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 N STRATFORD RD",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988371512",
            "telephone_number": "509-765-2255",
            "fax_number": "509-765-1155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 N STRATFORD RD",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988371512",
            "telephone_number": "509-765-2255",
            "fax_number": "509-765-1155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSES LAKE PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-19",
        "last_updated": "2016-05-19",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "HAMILTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-765-2255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, PS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60331610",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WA",
            "license": "DE60331610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2050514",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moses Lake, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2016; 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.