RUDYARD G MCKENNON (NPI# 1134284052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134284052 |
| Entity Type | Individual |
| Full Name | RUDYARD G MCKENNON |
| Credential | DDS |
| Practice Address |
407 W Riverside Ave Ste 864 Spokane WA 99201 |
| Practice Telephone | 5096245303 |
| Practice Fax Number | 5096243044 |
| Mailing Telephone | 5096245303 |
| Mailing Fax Number | 5096243044 |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
9903 | WA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 5048129 | 05 |
| Street Address |
407 W RIVERSIDE AVE STE 864 |
| City | SPOKANE |
| State | WA |
| Zip Code | 99201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013517952 | Maria Escobedo | Counselor | 1321 N. Ash, Spokane, WA 99201 | 2020-10-29 |
| 1619576774 | Bethany Heath Arnp-pmhnp Pllc | Nurse Practitioner | 1224 West Riverside, Apt 408, Spokane, WA 99201 | 2020-10-20 |
| 1811594658 | Kaaren Goeller-bloom | Counselor | 106 West Mission, Spokane, WA 99201 | 2020-10-05 |
| 1649732793 | Marsha Rose Valenzuela | Peer Specialist | Partners With Families and Children, 1321 W. Broadway, Spokane, WA 99201 | 2019-04-05 |
| 1770047896 | Rachel Nicole Burns | Counselor | 1321 W. Broadway Ave, Spokane, WA 99201 | 2019-01-23 |
| 1760953384 | Nicole Renee Breesnee | Counselor | 2308 W. 3rd Ave, Spokane, WA 99201 | 2018-12-07 |
| 1083184675 | Alicia L Paschall | Counselor | 222 S Howard St, Apt 310, Spokane, WA 99201 | 2018-11-27 |
| 1003383159 | Sandra Kay Robinson | Counselor | New Horizons Care Centers, Inc., 701 E 3rd Street, Spokane, WA 99201 | 2018-10-26 |
| 1801361191 | Michael Joseph Lehman | Naturopath | 316 W Boone Ave Ste 777, Spokane, WA 99201 | 2018-10-12 |
| 1316422454 | Cmdpn Medical Group of Washington, P.C. | Emergency Medicine | 707 West Main Ave. Ste B1, Pmb 117, Spokane, WA 99201 | 2018-09-25 |
| Find all providers in zip 99201 | ||||
| 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.