Organization Active NPI

Dental Care Associates of Spokane Valley

  • Dentist
  • Spokane Valley, WA
National Provider Identifier
1992036271
Registry record updated Jan 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5437 Issued in WA
Legal business name
DENTAL CARE ASSOCIATES OF SPOKANE VALLEY
Practice address
507 N Sullivan Rd
Suite A1
Spokane Valley, WA 99037-8576
Phone
(509) 928-9100
Fax
(509) 924-3724
NPI assigned
Jan 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2010

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

Authorized official

Name
James G Hood, D.D.S.
Title
Owner
Phone
(509) 928-9100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 5437 WA Primary

Addresses

Primary practice location

507 N Sullivan Rd
Suite A1
Spokane Valley, WA 99037-8576

Mailing address

507 N Sullivan Rd
Suite A1
Spokane Valley, WA 99037-8576
Phone (509) 928-9100

Other identifiers 1

IdentifierTypeStateIssuer
5777602MedicaidWA

National Provider Directory

National Provider Directory

Locations

507 N Sullivan Rd
Ste A1
Spokane Valley, WA 99037
Phone (509) 928-9100

NPI Registry JSON

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

{
    "created_epoch": "1264464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264464000000",
    "number": "1992036271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 N SULLIVAN RD",
            "address_2": "SUITE A1",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "990378576",
            "telephone_number": "509-928-9100",
            "fax_number": "509-924-3724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 N SULLIVAN RD",
            "address_2": "SUITE A1",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "990378576",
            "telephone_number": "509-928-9100",
            "fax_number": "509-924-3724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL CARE ASSOCIATES OF SPOKANE VALLEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-26",
        "last_updated": "2010-01-26",
        "status": "A",
        "authorized_official_last_name": "HOOD",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-928-9100",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "5437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5777602",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "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 Jan 26, 2010; 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.