Freuen Hauck Paxton Oms PLLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

FREUEN HAUCK PAXTON OMS PLLC

Practice address

9911 N Nevada St Ste 120
Spokane, WA 99218-1298

Phone

(509) 242-3336

NPI assigned

Oct 2, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Renee Kristen Bancroft

Title

Admin Manager

Phone

(509) 242-3336

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1506902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554336000000",
    "number": "1942710231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9911 N NEVADA ST STE 120",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992181298",
            "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": "9911 N NEVADA ST STE 120",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992181298",
            "telephone_number": "509-242-3336"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2807 S Stone St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992234904",
            "country_code": "US",
            "telephone_number": "509-242-3336",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FREUEN HAUCK PAXTON OMS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-02",
        "last_updated": "2019-04-04",
        "status": "A",
        "authorized_official_last_name": "BANCROFT",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "KRISTEN",
        "authorized_official_title_or_position": "ADMIN MANAGER",
        "authorized_official_telephone_number": "509-242-3336",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "WA",
            "license": null,
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON STATE LICENSE",
            "identifier": "60378265",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON STATE LICENSE",
            "identifier": "8645",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael French, CRNA
• Ruth French, MSW
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• Larry R Freshour, PT
• Carl E Freter, MD
• Nicholas Downey Freuen, DDS
• Patrick F Freuen, M.D.
• Marie Thora Frey, MA
• Brandy Frick, LMP
• Nataliya Savana Frick

• Oral and Maxillofacial Surgery (Dentist) in Spokane, WA
• Providers in Spokane, WA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2019; 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.