MC-Chy LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MC-CHY LLC

Practice address

60 Simpson Pkwy
Cheney, WA 99004-2031

Phone

(509) 235-2900

NPI assigned

Dec 10, 2018

Organization subpart

No

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

Authorized official

Name

Cathy Reed

Title

Credentialing

Phone

(509) 235-2900

Specialties & licenses 1

Addresses

Other names 1

• Mint Condition Dental Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dalton Patrick Stevens Harding, DDS

  • Dentist
  • Cheney, WA
  • NPI 1467000513
  NPD (past)
• Huy Khoi Mai, DDS

  • Dentist
  • Cheney, WA
  • NPI 1003792060
  NPD (past)
• Matthew Matta, DDS

  • Dentist
  • Cheney, WA
  • NPI 1568991867
  NPD (past)

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

{
    "created_epoch": "1544400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544400000000",
    "number": "1982175444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19187",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992199187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 SIMPSON PKWY",
            "city": "CHENEY",
            "state": "WA",
            "postal_code": "990042031",
            "telephone_number": "509-235-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MC-CHY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-10",
        "last_updated": "2018-12-10",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "CATHY",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "509-235-2900"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mint Condition Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michelle Manley, MS, CCC-SLP
• McKaila Manus, ND
• Natasha Tara Marlton
• Mia Nicole Mascarinas
• Matthew Matta, DDS
• Deanna Marie McCabe, MS CCC-SLP
• Dena McComb
• Sarah Louise McConahy Ziemer
• Kathy Ann McDermott, PTA
• Theresa Lynn McDowell, DR.

• Dental Clinic/Center in Cheney, WA
• Providers in Cheney, WA by specialty
• Dental Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2018; 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.