DR. ROBERT JAMES ACHTERBERG (NPI# 1689614588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689614588 |
| Entity Type | Individual |
| Full Name | DR. ROBERT JAMES ACHTERBERG |
| Credential | DDS MS |
| Practice Address |
13103 E Mansfield Incyte Pathology Ps Spokane WA 99216 |
| Mailing Address |
Po Box 3405 Incyte Pathology Ps Spokane WA 99220-3405 |
| Practice Telephone | 5098922700 |
| Practice Fax Number | 5098922740 |
| Mailing Telephone | 5098922700 |
| Mailing Fax Number | 5098922740 |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0106X |
Dentist Specialization: Oral and Maxillofacial Pathology |
DE00009701 | WA | Dental Providers |
| Street Address |
13103 E MANSFIELD INCYTE PATHOLOGY PS |
| City | SPOKANE |
| State | WA |
| Zip Code | 99216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659351344 | Brian E Staley | Pathology | 13103 E Mansfield, Incyte Pathology Ps, Spokane, WA 99216 | 2006-01-19 |
| 1427099449 | Michael W Detar | Pathology | 13103 E Mansfield, Incyte Pathology Ps, Spokane, WA 99216 | 2006-06-09 |
| 1134160104 | Christopher J Montague | Pathology | 13103 E Mansfield, Incyte Pathology Ps, Spokane, WA 99216 | 2006-06-09 |
| 1992746978 | Terese M Fandel | Pathology | 13103 E Mansfield, Incyte Pathology Ps, Spokane, WA 99216 | 2006-06-09 |
| 1801837885 | Mancong Zhang | Pathology | 13103 E Mansfield, Incyte Pathology Ps, Spokane, WA 99216 | 2006-06-09 |
| 1679513584 | Thomas James Allerding | Pathology | 13103 E Mansfield, Incyte Pathology Ps, Spokane, WA 99216 | 2006-06-08 |
| 1093755985 | Thomas Joseph Bassler Jr. | Pathology | 13103 E Mansfield, Incyte Pathology Ps, Spokane, WA 99216 | 2006-06-07 |
| 1578503900 | Amy Martha Backer | Pathology | 13103 E Mansfield, Insyte Pathology Ps, Spokane, WA 99216 | 2006-06-07 |
| 1306884721 | Alexandra M Wardzala | Pathology | 13103 E Mansfield, Incyte Pathology Ps, Spokane, WA 99216 | 2006-06-04 |
| 1205874625 | Karen Mary Ireland | Pathology | 13103 E Mansfield, Incyte Pathology Ps, Spokane, WA 99216 | 2006-06-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053920124 | Aark Laboratory | Clinical Medical Laboratory | 12709 E Mirabeau Pkwy Bldg A Ste 500, Spokane, WA 99216 | 2020-07-24 |
| 1922622158 | Vera Whole Health Wa, PC | Clinic/Center | 16009 E Indiana Ave, Spokane Valley, WA 99216 | 2020-06-03 |
| 1023654001 | Rebecca Elizabeth Ryan | Massage Therapist | 12505 E 23rd Ave, Spokane Valley, WA 99216 | 2019-11-25 |
| 1356992903 | Creative Communication LLC | Speech-Language Pathologist | 13607 E. Sprague Ave, Spokane Valley, WA 99216 | 2019-09-25 |
| 1972096584 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 15319 E Indiana Ave Ste 2, Spokane Valley, WA 99216 | 2018-06-08 |
| 1356845655 | Rp Operations, LLC | Assisted Living Facility | 13013 E Mission Ave, Spokane Valley, WA 99216 | 2018-03-21 |
| 1174036305 | Talk, Learn and Communicate | Speech-Language Pathologist | 13607 East Spraque Avenue, Spokane Valley, WA 99216 | 2017-11-09 |
| 1134638281 | Vtc Vitality Healthcare | Pain Medicine | 12409 E Mission Ave Ste 102, Spokane Valley, WA 99216 | 2017-09-20 |
| 1285150086 | Robert C Tsay Jr. | Pharmacist | 12415 E 12th Ave, Apt 110, Spokane Valley, WA 99216 | 2017-08-15 |
| 1629505607 | Spokane Valley Medical, Inc | Durable Medical Equipment & Medical Supplies | 12509 E. Mission Ave, Suite #103, Spokane, WA 99216 | 2017-05-22 |
| Find all providers in zip 99216 | ||||
| Taxonomy Code | 1223P0106X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Pathology |
| The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942410436 | Oral Surgery Plus P.s. | Dentist | 123 W Francis Ave, Suite 101, Spokane, WA 99205-6348 | 2007-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730653197 | Matthew Callan Dds Pllc | Dentist | 2530 Perry Ave Ste 100, Bremerton, WA 98310-5219 | 2019-01-17 |
| 1427373869 | Cazan & Menke Pllc | Dentist | W. 13326 14th Street, Airway Heights, WA 99001 | 2010-03-29 |
| 1982662482 | Scott Clayhold | Dentist | 22605 Se 56th St, Ste. 110, Issaquah, WA 98029-5289 | 2006-05-03 |
| 1760447122 | Oral Surgery Associates Inc. | Dentist | 3924 Martin Way E, Olympia, WA 98506-5220 | 2006-04-19 |
| 1841252996 | Mark Richard Gleisner | Dentist | 2 Nd Floor Bldg 9900, Attn: Credentials Office, Tacoma, WA 98431-0001 | 2006-04-04 |
| 1326303298 | Julia Yu Fong Chang | Dentist | 1959 Ne Pacific St, Room B-202, Seattle, WA 98195-7133 | 2012-07-06 |
| 1598974339 | Darrell Rick Edwards | Dentist | 2345 Sw 320th St, Federal Way, WA 98023-2568 | 2007-05-21 |
| 1760542153 | Darrell K. Tew | Dentist | 1703 Creekside Loop, Suite 100, Yakima, WA 98902-4875 | 2006-12-08 |
| 1275691198 | Ralph K Zech II | Dentist | 1229 Madison St, Suite 1020, Seattle, WA 98104-3586 | 2006-12-04 |
| 1720154404 | Neal Oral & Maxillofacial Surgery | Dentist | 509 Olive Way, Suite 1207, Seattle, WA 98101 | 2006-11-27 |
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| 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.