NPIMap

Individual provider Active NPI

Taylor Marie Whittaker, DDS

  • General Practice Dentistry
  • Spokane, WA
National Provider Identifier
1952928608
Registry record updated Apr 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE61088568 Issued in WA
Practice address
1212 N Post St
Spokane, WA 99201-2507
Phone
(509) 326-7307
NPI assigned
Jun 29, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DE61088568 WA
General Practice Dentistry 1223G0001X DE61088568 WA Primary

Addresses

Primary practice location

1212 N Post St
Spokane, WA 99201-2507

Mailing address

1212 N Post St
Spokane, WA 99201-2507
Phone (509) 326-7307

Other practice location 1

1720 2nd St
Cheney, WA 99004-1910
Phone (509) 444-8200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211202001011 WA Order and Referring Only - DentistPractitioner - Dentist 0345630554

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Association of Spokane Dentist Past Accepting new patients
Community Health Association of Spokane Past Accepting new patients
Thompson DMD PLLC Dentist PastSince Nov 1, 2020 Accepting new patients
Community Health Association of Spokane Past Accepting new patients
Community Health Association of Spokane Past Accepting new patients
Community Health Association of Spokane Dentist Past Accepting new patients
Community Health Association of Spokane Past Accepting new patients
Community Health Association of Spokane Past Accepting new patients
Earl L. Whittaker DDS PS PastSince May 1, 2022 Accepting new patients
Community Health Association of Spokane Dentist Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: taylor.whittaker.1@11411.direct.athenahealth.com

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1593388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1952928608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 N POST ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992012507",
            "telephone_number": "509-326-7307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 N POST ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992012507",
            "telephone_number": "509-326-7307"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1720 2nd St",
            "address_purpose": "LOCATION",
            "city": "Cheney",
            "state": "WA",
            "postal_code": "990041910",
            "country_code": "US",
            "telephone_number": "509-444-8200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITTAKER",
        "first_name": "TAYLOR",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-29",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE61088568",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE61088568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.