MOBILE ANESTHESIA FOR CHILDREN (NPI# 1356667026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356667026 |
| Entity Type | Organization |
| Organization Name | MOBILE ANESTHESIA FOR CHILDREN |
| Practice Address |
9302 N Colton St Suite 100 Spokane WA 99218-1290 |
| Practice Telephone | 5098639460 |
| Practice Fax Number | 5098680428 |
| Mailing Telephone | 5098639460 |
| Mailing Fax Number | 5098680428 |
| Enumeration Date | 2010-04-20 |
| Last Update Date | 2010-04-20 |
| Authorized Official Name | DR. MARK WILLIAM BOTTORFF (OWNER) |
| Authorized Official Telephone | 5099905821 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
DE00009793 | WA | Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | MOBILE ANESTHESIA FOR CHILDREN, LLC | 9302 N Colton St Ste 100, Spokane, WA 99218-1290 |
| Street Address |
9302 N COLTON ST SUITE 100 |
| City | SPOKANE |
| State | WA |
| Zip Code | 99218-1290 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710057021 | Jay L Enzler | Dentist | 9302 N Colton St, Suite 100, Spokane, WA 99218 | 2006-11-08 |
| 1790142701 | Kirk Fuhriman Pllc | Dentist | 9302 N Colton St, Suite #100, Spokane, WA 99218-1290 | 2016-01-21 |
| 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 | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535695 | Ellingsen Henneberg Pllc | Clinic/Center | 2607 S Southeast Blvd Ste B210, Spokane, WA 99223-7614 | 2020-10-16 |
| 1013540442 | Ulysses Vargas Dds Pllc | Clinic/Center | 2700 S Southeast Blvd Ste 101, Spokane, WA 99223-4984 | 2020-02-13 |
| 1760943203 | Bryan Hunter Denturist LLC | Clinic/Center | 1105 W Francis Ave Ste B, Spokane, WA 99205-6817 | 2019-03-27 |
| 1629541552 | Zollinger, Pllc | Clinic/Center | 3022 E 57th Ave Ste 10, Spokane, WA 99223-7033 | 2019-01-03 |
| 1316460421 | Scott Soderstrom Dds,pc | Clinic/Center | 101 W Cascade Way Ste 200, Spokane, WA 99208-6000 | 2017-07-20 |
| 1619423316 | Hi5 Orthodontics | Clinic/Center | 9425 N Nevaa, Suite 100, Spokane, WA 99218 | 2016-09-01 |
| 1578019253 | Debra L. Craig Dds,ps | Clinic/Center | 10103 N Division St Ste 201, Spokane, WA 99218-1383 | 2016-08-31 |
| 1487100442 | Prosser Dentistry | Clinic/Center | 251 E 5th Ave Ste B, Spokane, WA 99202-1327 | 2016-08-30 |
| 1497967517 | Stephen C. Call D.d.s., P.s. | Clinic/Center | 915 East Hawthorne Road, Suite G, Spokane, WA 99218 | 2007-05-03 |
| 1679180046 | Logan P Goulet Dmd Pllc | Clinic/Center | 3150 E 27th Ave # 200, Spokane, WA 99223-4919 | 2020-09-29 |
| 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.