SHANNON I. MAGNUSON, DDS, MSD, PS (NPI# 1558631242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558631242 |
| Entity Type | Organization |
| Organization Name | SHANNON I. MAGNUSON, DDS, MSD, PS |
| Other Organization Name | MAGNUSON ORTHODONTICS |
| Practice Address |
10121 N Nevada St Suite 201 Spokane WA 99218-3120 |
| Practice Telephone | 5094435597 |
| Practice Fax Number | 5098639701 |
| Mailing Telephone | 5094435597 |
| Mailing Fax Number | 5098639701 |
| Enumeration Date | 2012-01-11 |
| Last Update Date | 2012-01-11 |
| Authorized Official Name | DR. SHANNON MAGNUSON (PRESIDENT) |
| Authorized Official Telephone | 5094435597 |
| Authorized Official Credential | DDS, MSD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
7628 | WA | Dental Providers |
| Other Name | Type Code |
|---|---|
| Magnuson Orthodontics | Doing Business As Name - Organization |
| Street Address |
10121 N NEVADA ST SUITE 201 |
| City | SPOKANE |
| State | WA |
| Zip Code | 99218-3120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518949387 | Brent Lynn Child | Dentist | 10121 N Nevada St, Suite 101, Spokane, WA 99218-3120 | 2005-11-17 |
| 1467908921 | James P. Dorosh Dds | Dentist | 10121 N Nevada St, Suite 301, Spokane, WA 99218-3120 | 2016-08-25 |
| 1609212687 | Douglas Gregg Rundle | Dentist | 10121 N Nevada St, Suite 102, Spokane, WA 99218-3120 | 2013-05-16 |
| 1326318643 | Andrew F. Heidergott, Dds, Ps | Dentist | 10121 N Nevada St, Suite 202, Spokane, WA 99218-3120 | 2012-01-03 |
| 1508183450 | Shannon I Magnuson | Dentist | 10121 N Nevada St, Suite 201, Spokane, WA 99218-3120 | 2010-04-30 |
| 1538315296 | Douglas G. Rundle, D.m.d, P.c | Dentist | 10121 N Nevada St, Suite 102, Spokane, WA 99218-3120 | 2008-08-13 |
| 1619178522 | James Paul Dorosh | Dentist | 10121 N Nevada St, Ste. 301, Spokane, WA 99218-3120 | 2007-05-29 |
| 1306880646 | Bruce B. Harsha, Dds, Ps | Dentist | 10121 N Nevada St, Suite 101, Spokane, WA 99218-3120 | 2006-06-16 |
| 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 | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053867150 | Damon and Damon Orthodontics | Dentist | 4407 N Division St Ste 722, Spokane, WA 99207-1613 | 2016-08-29 |
| 1366751984 | George H Nauert | Dentist | 6821 N Country Homes Blvd Ste 204, Spokane, WA 99208-4376 | 2010-09-30 |
| 1720255102 | Stephanie Clark Combs | Dentist | 418 E 30th Ave Ste 2, Spokane, WA 99203-2581 | 2008-05-14 |
| 1558427427 | Kirkland Brent Reuer | Dentist | 9717 N Nevada, Spokane, WA 99218 | 2006-12-28 |
| 1386705598 | Steven E Gregg | Dentist | 508 W 7th Ave, Spokane, WA 99204-2731 | 2006-12-12 |
| 1437244365 | Duane C Grummons | Dentist | 9425 N Nevada St Ste 100, Spokane, WA 99218-1286 | 2006-10-04 |
| 1780778662 | Ronald H. Ellingsen | Dentist | 9915 N Division St, Spokane, WA 99218-1303 | 2006-10-03 |
| 1437257839 | Joshua L Johnson | Dentist | 510 E Hastings Rd, Suite B, Spokane, WA 99218 | 2006-09-20 |
| 1598225161 | Johnson Van Gemert, Pllc | Dentist | 520 S Cowley St, Spokane, WA 99202-1315 | 2019-03-20 |
| 1215482757 | Ronald H. Ellingsen, Dds, Msd, Ps | Dentist | 9915 N Division St, Spokane, WA 99218-1303 | 2016-08-24 |
| 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.