Organization Active NPI

Tod M Hardin, DMD, PLLC

  • Pediatric Dentistry
  • Spokane Valley, WA
National Provider Identifier
1942929146
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
TOD M HARDIN, DMD, PLLC
Practice address
12409 E Mirabeau Pkwy Ste 200
Spokane Valley, WA 99216-5056
Phone
(509) 239-8710
NPI assigned
Aug 23, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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

Authorized official

Name
Aleta Beuter
Title
Credentialing Specialist
Phone
(775) 409-4614

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

12409 E Mirabeau Pkwy Ste 200
Spokane Valley, WA 99216-5056

Mailing address

3605 Grant Dr
Reno, NV 89509-5301
Phone (775) 409-4614

Other identifiers 1

IdentifierTypeStateIssuer
1053375089OtherINDIVIDUAL NPI

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address info@littlesmilespediatricdentistry.com
CONNECT URL Connecturl

National Provider Directory

National Provider Directory

Locations

12409 E Mirabeau Pkwy
Ste 200
Spokane Valley, WA 99216
Phone (509) 239-8710

NPI Registry JSON

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

{
    "created_epoch": "1661212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661212800000",
    "number": "1942929146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3605 GRANT DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895095301",
            "telephone_number": "775-409-4614",
            "fax_number": "775-409-4614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12409 E MIRABEAU PKWY STE 200",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992165056",
            "telephone_number": "509-239-8710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOD M HARDIN, DMD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-23",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A",
        "authorized_official_last_name": "BEUTER",
        "authorized_official_first_name": "ALETA",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "775-409-4614"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1053375089",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@littlesmilespediatricdentistry.com",
            "affiliation": "N",
            "address_1": "12409 E Mirabeau Pkwy Ste 200",
            "city": "Spokane Valley",
            "state": "WA",
            "country_code": "US",
            "postal_code": "992165056",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Connecturl",
            "affiliation": "N",
            "address_1": "12409 E Mirabeau Pkwy Ste 200",
            "city": "Spokane Valley",
            "state": "WA",
            "country_code": "US",
            "postal_code": "992165056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Spokane Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; 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.