FREUEN HAUCK PAXTON OMS PLLC (NPI# 1942710231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1942710231 |
Entity Type | Organization |
Organization Name | FREUEN HAUCK PAXTON OMS PLLC |
Practice Address |
9911 N Nevada St Ste 120 Spokane WA 99218-1298 |
Practice Telephone | 5092423336 |
Mailing Telephone | 5092423336 |
Mailing Fax Number | 8665541392 |
Enumeration Date | 2017-10-02 |
Last Update Date | 2019-04-04 |
Authorized Official Name | MRS. RENEE KRISTEN BANCROFT (ADMIN MANAGER) |
Authorized Official Telephone | 5092423336 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers | ||
Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
WA | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | WASHINGTON STATE LICENSE | 60378265 | 01 |
WA | WASHINGTON STATE LICENSE | 8645 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
2807 S Stone St Ste 202, Spokane, WA 992234904 | 5092423336 | |
9911 N Nevada St Ste 120, Spokane, WA 992181298 | 5092423336 |
Street Address |
9911 N NEVADA ST STE 120 |
City | SPOKANE |
State | WA |
Zip Code | 99218-1298 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891282455 | Timary Mathena | Specialist/Technologist | 11107 North Astor Road, Spokane, WA 99218 | 2018-04-19 |
1619423316 | Hi5 Orthodontics | Clinic/Center | 9425 N Nevaa, Suite 100, Spokane, WA 99218 | 2016-09-01 |
1245689389 | Heather Beats | Massage Therapist | 101 E. Hastings Rd. Ste G, Spokane, WA 99218 | 2016-06-09 |
1770979411 | Sparks Massage LLC-dba Elements Masssage | Massage Therapist | 101 E. Hastings Rd., Spokane, WA 99218 | 2015-04-09 |
1902295363 | Annabelle Morgan | Midwife | 11725 N Lincoln Ct, Spokane, WA 99218 | 2015-01-22 |
1578967543 | Deana Marie Ray | Massage Therapist | 1231 N Division, Ste 105, Spokane, WA 99218 | 2014-10-20 |
1770909889 | Krista Dye | Occupational Therapist | 9827 N Nevada, Spokane, WA 99218 | 2014-03-13 |
1265855845 | Breanna Zeis | Massage Therapist | 624 W. Hastings, Suite 16, Spokane, WA 99218 | 2014-02-02 |
1730516642 | Christie Nygaard | Massage Therapist | 101 E. Hastings Rd, Spokane, WA 99218 | 2013-10-09 |
1629312749 | Michelle Reid | Community Health Worker | 10709 N Madison, Spokane, WA 99218 | 2012-11-15 |
Find all providers in zip 99218 |
Taxonomy Code | 1223S0112X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Oral and Maxillofacial Surgery |
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295155455 | Jordan Diamond | Dentist | 2204 E 29th Ave Ste 104, Spokane, WA 99203 | 2014-04-25 |
1790959377 | Nicholas Downey Freuen | Dentist | 101 W Cascade Way Ste 103, Spokane, WA 99208-6000 | 2008-04-15 |
1497721732 | Patrick C. Collins | Dentist | 322 W 7th Ave, Spokane, WA 99204-2504 | 2006-02-27 |
1730179334 | Cascade Oral & Maxillofacial Surgery | Dentist | 101 W Cascade Way, Suite 103, Spokane, WA 99208-6003 | 2005-10-25 |
1508862293 | Cary B Simonds | Dentist | 123 W Francis Ave, Spokane, WA 99205-6348 | 2005-06-27 |
1609870070 | W Dale Crum | Dentist | 2204 E 29th Ave, Ste 104, Spokane, WA 99203-3961 | 2005-06-13 |
1881015220 | Osp Spokane Pllc | Dentist | 123 W Francis Ave, Spokane, WA 99205-6348 | 2014-01-03 |
1982965976 | Inland Oral Surgery P.s. | Dentist | 2204 E 29th Ave, Suite 104, Spokane, WA 99203-3961 | 2012-06-06 |
1093977506 | David G. Gailey | Dentist | 2204 E 29th Ave, Suite #104, Spokane, WA 99203-3961 | 2008-06-26 |
1336320621 | Collins Oral & Maxillofacial Surgery, Ps | Dentist | 322 W 7th Ave, Spokane, WA 99204-2504 | 2007-11-15 |
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.