Active NPI
Brent Daniel Anyan, DDS PS
- General Practice Dentistry
- Spokane, WA
National Provider Identifier
1952479875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DE00007653
- Practice address
- 4703 N Maple St
Spokane, WA 99205 - Phone
- (509) 325-3311
- Fax
- (509) 325-4567
- NPI assigned
- Nov 30, 2006
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DE00007653 | WA | Primary |
Addresses
Primary practice location
4703 N Maple St
Spokane, WA 99205
Mailing address
4703 N Maple St
Spokane, WA 99205
Phone (509) 325-3311
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE00007653 | WA | MD | General Practice Dentistry |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dentist
- Spokane, WA
- NPI 1679029623
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1952479875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4703 N MAPLE ST",
"city": "SPOKANE",
"state": "WA",
"postal_code": "99205",
"telephone_number": "509-325-3311",
"fax_number": "509-325-4567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4703 N MAPLE ST",
"city": "SPOKANE",
"state": "WA",
"postal_code": "99205",
"telephone_number": "509-325-3311",
"fax_number": "509-325-4567"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANYAN",
"first_name": "BRENT",
"middle_name": "DANIEL",
"credential": "DDS PS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WA",
"license": "DE00007653",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.