DR. JACLYN M ELIASSEN (NPI# 1720462666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720462666 |
| Entity Type | Individual |
| Full Name | DR. JACLYN M ELIASSEN |
| Credential | DDS |
| Practice Address |
5011 W Lowell Ave Suite 130 Spokane WA 99208-8587 |
| Practice Telephone | 5094643100 |
| Mailing Telephone | 5094643100 |
| Enumeration Date | 2015-07-09 |
| Last Update Date | 2015-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DE60575246 | WA | Dental Providers |
| Street Address |
5011 W LOWELL AVE SUITE 130 |
| City | SPOKANE |
| State | WA |
| Zip Code | 99208-8587 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922066257 | Alan Dale Purdy | Family Medicine | 5011 W Lowell Ave, Suite 100, Spokane, WA 99208-8587 | 2006-05-03 |
| 1710437017 | Integrated Dental Arts, Pllc | Dentist | 5011 W Lowell Ave, Suite 130, Spokane, WA 99208-8587 | 2016-10-11 |
| 1457704546 | Integrated Dental Arts | Dentist | 5011 W Lowell Ave, Suite 130, Spokane, WA 99208-8587 | 2016-07-13 |
| 1649663063 | Stacy Rush | Nurse Practitioner | 5011 W Lowell Ave, Suite 100, Spokane, WA 99208-8587 | 2015-03-10 |
| 1386925949 | April Ann Estelle | Nurse Practitioner | 5011 W Lowell Ave, Suite 100, Spokane, WA 99208-8587 | 2011-09-08 |
| 1205168184 | Pacific Eyecare & Optical, Pllc | Clinic/Center | 5011 W Lowell Ave, Suite 120, Spokane, WA 99208-8587 | 2010-02-03 |
| 1255402715 | Thomas Arthur Myers | Optometrist | 5011 W Lowell Ave, Suite 120, Spokane, WA 99208-8587 | 2006-11-13 |
| 1386602951 | Tammy Jane Maloney | Physical Therapy Assistant | 5011 W Lowell Ave, Ste 120, Spokane, WA 99208-8587 | 2006-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043787161 | Bonnie Rose Spencer | Social Worker | E 44 Cozza, Spokane, WA 99208 | 2018-10-26 |
| 1235617515 | Melissa Dawn Scholl | Massage Therapist | 906 E Country Hill Ct, Spokane, WA 99208 | 2018-07-30 |
| 1043706583 | Healthy Schools Washington, Pllc | Pediatrics | 1028 West Rosewood Ave, Spokane, WA 99208 | 2018-07-09 |
| 1467943720 | Simone Ferguson | Student in an Organized Health Care Education/Training Program | 7808 North Morton Avenue, Apt. # 675, Spokane, WA 99208 | 2018-05-22 |
| 1912496035 | Ascend Network Corp | Counselor | 3711 W Woodside, Spokane, WA 99208 | 2018-05-03 |
| 1023522216 | Cherrywood Place-spokane, LLC | Assisted Living Facility | 100 East Dalke Ave, Spokane, WA 99208 | 2017-11-27 |
| 1881118792 | Annie Kamau | Registered Nurse | 5920 W Lonewolf, Spokane, WA 99208 | 2017-08-01 |
| 1609303908 | Jeffery Anthony Glinski | Counselor | 3754 W. Indian Trail Rd., Spokane, WA 99208 | 2017-05-17 |
| 1487186938 | Mukhlis Azar | Physical Therapy Assistant | 305 E Sierra Ct, Spokane, WA 99208 | 2017-04-03 |
| 1154796241 | Daisy O'dell | Marriage & Family Therapist | 515 W. Francis Ave., Suite #8, Spokane, WA 99208 | 2015-12-01 |
| Find all providers in zip 99208 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427662303 | Dr. Teemu J Scarborough Dds PC | Dentist | 707 W Francis Ave Ste 100, Spokane, WA 99205-6401 | 2020-09-08 |
| 1932682374 | Dental Professionals of Washington Quirt Mongrain Gibree PC | Dentist | 2807 S Stone St Ste 102, Spokane, WA 99223-4904 | 2018-09-12 |
| 1821582735 | Dental Professionals of Washington Quirt Mongrain Gibree PC | Dentist | 1520 W Garland Ave Ste A, Spokane, WA 99205-2613 | 2018-06-15 |
| 1689175309 | Evolution Dental Alliance | Dentist | 507 S Washington St Ste 190, Spokane, WA 99204-2608 | 2018-02-27 |
| 1528411600 | Richard G Witter, Dds | Dentist | 3150 E 27th Ave # 200, Spokane, WA 99223-4919 | 2016-07-13 |
| 1922461409 | Michael Davis Dmd Pllc | Dentist | 15 E Central Ave Ste 2, Spokane, WA 99208-1109 | 2016-04-01 |
| 1174938500 | Heather Marie Moore | Dentist | 101 W. Cascade Way Suite 202, Cascade Dental Care, Spokane, WA 99208-6016 | 2014-06-24 |
| 1235550898 | Penelope Walpole | Dentist | 9802 E. Holman Rd, Spokane, WA 99206 | 2013-12-30 |
| 1437590338 | Thomas A Stein | Dentist | 520 S Cowley St Ste 105, Spokane, WA 99202-1315 | 2013-07-09 |
| 1710242367 | Amy Clement | Dentist | 4815 N Assembly St., Spokane, WA 99205 | 2012-07-10 |
| Find all providers in SPOKANE | ||||
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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.