Organization Active NPI

Paul C Fawson III DDS Inc PS

  • Dentist
  • Spokane, WA
National Provider Identifier
1992067607
Registry record updated Jun 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
60291946 Issued in WA
Legal business name
PAUL C FAWSON III DDS INC PS
Practice address
2204 E 29TH Ave
Ste 208
Spokane, WA 99203-3961
Phone
(509) 535-9515
NPI assigned
Jun 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2012

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

Authorized official

Name
Paul C Fawson III, DDS
Title
President
Phone
(509) 535-9515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 60291946 WA Primary

Addresses

Primary practice location

2204 E 29TH Ave
Ste 208
Spokane, WA 99203-3961

Mailing address

2204 E 29TH Ave
Ste 208
Spokane, WA 99203-3961
Phone (509) 535-9515

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1339286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339286400000",
    "number": "1992067607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2204 E 29TH AVE",
            "address_2": "STE 208",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992033961",
            "telephone_number": "509-535-9515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 E 29TH AVE",
            "address_2": "STE 208",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992033961",
            "telephone_number": "509-535-9515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL C FAWSON III DDS INC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-10",
        "last_updated": "2012-06-10",
        "status": "A",
        "authorized_official_last_name": "FAWSON",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "509-535-9515",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "60291946",
            "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 Jun 10, 2012; 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.