KALISPEL TRIBE OF INDIANS (NPI# 1083980080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083980080 |
| Entity Type | Organization |
| Organization Name | KALISPEL TRIBE OF INDIANS |
| Other Organization Name | CAMAS CENTER DENTAL CLINIC |
| Practice Address |
1821 Leclerc Rd N Ste 1 Cusick WA 99119-5015 |
| Mailing Address |
Po Box 67 Usk WA 99180-0067 |
| Practice Telephone | 5094477111 |
| Practice Fax Number | 5094451152 |
| Mailing Telephone | 5094477111 |
| Mailing Fax Number | 5094451152 |
| Enumeration Date | 2012-03-24 |
| Last Update Date | 2012-03-24 |
| Authorized Official Name | NICK BROWN (CFO) |
| Authorized Official Telephone | 5094477237 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DE00009801 | WA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 5051537 | 05 |
| Other Name | Type Code |
|---|---|
| Camas Center Dental Clinic | Doing Business As Name - Organization |
| Street Address |
1821 LECLERC RD N STE 1 |
| City | CUSICK |
| State | WA |
| Zip Code | 99119-5015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831733138 | Deborah Ann Gilstrap | Massage Therapist | 1821 Leclerc Rd N Ste 1, Cusick, WA 99119-5015 | 2019-10-30 |
| 1982178588 | April R Sattleen | Community Health Worker | 1821 Leclerc Rd N Ste 1, Cusick, WA 99119-5015 | 2019-01-16 |
| 1952875627 | Jalee Palmer | Registered Nurse | 1821 Leclerc Rd N Ste 1, Cusick, WA 99119-5015 | 2019-01-16 |
| 1730667833 | Jennifer Marie Tackitt | Nurse Practitioner | 1821 Leclerc Rd N Ste 1, Cusick, WA 99119-5015 | 2018-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962754994 | Karen Michele Campbell | Occupational Therapist | 305 Monumental Way, Cusick, WA 99119 | 2012-10-15 |
| 1558536615 | Randy L Lindsey Pt At C Inc Ps Colville Physical Therapy | Clinic/Center | 390351 Hwy 20, Cusick, WA 99119 | 2008-04-29 |
| 1720085269 | Pend Oreille Fire 2 | Ambulance | 390442 Sr 20, Cusick, WA 99119 | 2005-06-30 |
| 1871636555 | Marvin J Gottschall Jr. | Dentist | 1821 N Leclerc Rd. #1, Cusick, WA 99119-5015 | 2007-02-14 |
| 1154951473 | James Douglas Volk | Physical Therapy Assistant | 1821 Leclerc Rd N, Cusick, WA 99119-5015 | 2020-01-26 |
| 1689166068 | Rosanna Grace Robison | Massage Therapist | 1821 Leclerc Rd N, Cusick, WA 99119-5015 | 2018-06-01 |
| 1720628167 | Samantha Joann Wynn | Counselor | 808 Community Hall Rd, Cusick, WA 99119-6034 | 2020-01-14 |
| 1508202904 | Melinda Kay Chantry | Massage Therapist | 396875 Highway 20, Cusick, WA 99119-9604 | 2013-05-13 |
| 1396937769 | Kalispel Indian Community of The Kalispel Reservation Washington | Clinic/Center | 1821 Leclerc Rd N, Cusick, WA 99119-9682 | 2007-08-09 |
| 1952331191 | Cusick School District | Local Education Agency (LEA) | 305 Monumental Rd, Cusick, WA 99119-9761 | 2006-07-04 |
| Find all providers in zip 99119 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851991319 | Ashley Lynn Wildhaber | Dentist | 111 Tumwater Blvd Se # 301, Tumwater, WA 98501-6400 | 2020-10-26 |
| 1124627757 | Eric Kun Kim | Dentist | 7160 Burden Blvd Ste 102, Pasco, WA 99301-4469 | 2020-10-24 |
| 1174121966 | Brandon C Hahn | Dentist | 6574 153rd Ave Se, Bellevue, WA 98006-5424 | 2020-10-13 |
| 1144828237 | William Garcia | Dentist | 1214 Sw Scotton Way Ste 101, Battle Ground, WA 98604-2715 | 2020-10-12 |
| 1568069391 | Neha Agarwal | Dentist | 13605 Ne 10th Pl # 8-101, Bellevue, WA 98005-2743 | 2020-10-05 |
| 1134736028 | Ibraheem M Al Naqshabandy | Dentist | 4747 30th Ave Ne Apt K174, Seattle, WA 98105-4032 | 2020-09-25 |
| 1598371866 | Maryam Tabarestani | Dentist | 24325 7th Pl W, Bothell, WA 98021-8525 | 2020-09-21 |
| 1922614890 | Vicky Herrera | Dentist | 10720 5th Ave Ne Apt 605, Seattle, WA 98125-7258 | 2020-09-16 |
| 1407461825 | Jangsu Kiyoshi | Dentist | 3006 Mahogany St Ne, Lacey, WA 98516-5589 | 2020-09-11 |
| 1407461270 | Crisafulli Dental | Dentist | 18920 Bothell Way Ne Ste 200, Bothell, WA 98011-1981 | 2020-09-09 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on KALISPEL TRIBE OF INDIANS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.