Active NPI
Tod M Hardin, DMD, PLLC
- Pediatric Dentistry
- Spokane Valley, WA
National Provider Identifier
1942929146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053375089 | Other | INDIVIDUAL NPI |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@littlesmilespediatricdentistry.com | ||
| CONNECT URL | Connecturl |
National Provider Directory
National Provider DirectoryLocations
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.