SOUTH HILL PERIODONTICS (NPI# 1629524061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629524061 |
| Entity Type | Organization |
| Organization Name | SOUTH HILL PERIODONTICS |
| Practice Address |
2700 S Southeast Blvd Suite 210 Spokane WA 99223-4984 |
| Practice Telephone | 5095367032 |
| Practice Fax Number | 5095367002 |
| Mailing Telephone | 5095367032 |
| Mailing Fax Number | 5095367002 |
| Enumeration Date | 2016-08-26 |
| Last Update Date | 2016-08-26 |
| Authorized Official Name | DR. ANTHONY GIARDINO (OWNER) |
| Authorized Official Telephone | 5095367032 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | Y |
| Parent Organization Name | SOUTHHILL PERIODONTICS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
Dental Providers |
| Street Address |
2700 S SOUTHEAST BLVD SUITE 210 |
| City | SPOKANE |
| State | WA |
| Zip Code | 99223-4984 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255334025 | Robert R Shaw | Dentist | 2700 S Southeast Blvd, Ste 101, Spokane, WA 99223-4984 | 2005-05-24 |
| 1457806085 | Robert R. Shaw D.m.d. | Clinic/Center | 2700 S Southeast Blvd, Suite 101, Spokane, WA 99223-4984 | 2016-08-24 |
| 1952772055 | Richard Weigand,dds,pllc | Durable Medical Equipment & Medical Supplies | 2700 S Southeast Blvd, Suite 110, Spokane, WA 99223-4984 | 2015-10-14 |
| 1932540234 | Bates Dental, Ps | Dentist | 2700 S Southeast Blvd, Suite 104, Spokane, WA 99223-4984 | 2013-07-15 |
| 1386858587 | Roderick William Tataryn | Dentist | 2700 S Southeast Blvd, Suite 201, Spokane, WA 99223-4984 | 2007-05-09 |
| 1942414065 | Roderick W. Tataryn D.d.s., M.s., P.s. | Dentist | 2700 S Southeast Blvd, Suite 201, Spokane, WA 99223-4984 | 2007-05-09 |
| 1831312594 | Richard D Weigand | Dentist | 2700 S Southeast Blvd, Ste.110, Spokane, WA 99223-4984 | 2007-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790253110 | The Anna Schindler Foundation Inc | Lodging | 2322 E 28th Ave, Spokane, WA 99223 | 2018-11-03 |
| 1174018113 | Taylor Bryant Etchart | Massage Therapist | 7040, 3209 E 57th Ave, Suite H, Spokane, WA 99223 | 2018-06-22 |
| 1366958415 | Jennifer Andrea Meroshnik | Massage Therapist | 3210 East 44th Ave, F301, Spokane, WA 99223 | 2017-12-26 |
| 1982060539 | Andrew John David Bingham | Nurse's Aide | 4202 S Regal St, Spokane, WA 99223 | 2016-01-12 |
| 1396118469 | Kerry Lee Traugott | Nurse Practitioner | 2405 E 17th Ave, Suite 113, Spokane, WA 99223 | 2015-11-11 |
| 1518335082 | Thomas Genthe | Psychologist | 5619 South Custer Rd., Spokane, WA 99223 | 2015-09-14 |
| 1346630035 | Inland Empire Therapy Associates | Occupational Therapist | 2527 E. 27th, Suite 100, Spokane, WA 99223 | 2015-02-02 |
| 1396080743 | Karin Lee Gilchrist | Dietitian, Registered | 3019 S. Lloyd Lane, Spokane, WA 99223 | 2012-12-11 |
| 1184968752 | Susan Marie Reynolds | Massage Therapist | 3010 S. Southeast Blvd, Suite A, Spokane, WA 99223 | 2012-11-20 |
| 1750638110 | Bobby E Kizer | Psychologist | 4219 E Prairie Lane Ct, Spokane, WA 99223 | 2012-08-04 |
| Find all providers in zip 99223 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265642375 | David W Engen Dds Ps | Dentist | 6817 N Cedar Rd Ste 202, Spokane, WA 99208-4277 | 2007-05-23 |
| 1659596948 | David Wayne Engen | Dentist | 9911 N Nevada St Ste 110, Spokane, WA 99218 | 2007-04-13 |
| 1124163068 | Gary Michael Shellerud | Dentist | 508 W 6th Ave Ste 208, Spokane, WA 99204-2730 | 2007-02-20 |
| 1538256854 | Steven D Aeschliman | Dentist | 15 E Central Ave, Spokane, WA 99208-1109 | 2006-10-06 |
| 1336235472 | Anthony G Giardino | Dentist | 2700 S Southeast Blvd Ste 210, Spokane, WA 99223-4984 | 2006-10-05 |
| 1831708833 | Andrea Pizzini | Dentist | 9911 N Nevada St, Spokane, WA 99218-1298 | 2020-07-24 |
| 1104372556 | Gary M Shellerud Dds | Dentist | 508 W 6th Ave Ste 208, Spokane, WA 99204-2730 | 2016-08-26 |
| 1609212687 | Douglas Gregg Rundle | Dentist | 10121 N Nevada St, Suite 102, Spokane, WA 99218-3120 | 2013-05-16 |
| 1538315296 | Douglas G. Rundle, D.m.d, P.c | Dentist | 10121 N Nevada St, Suite 102, Spokane, WA 99218-3120 | 2008-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225653397 | Rika Takada | Dentist | B403 Health Sciences Building, Seattle, WA 98195-0001 | 2020-06-14 |
| 1467074757 | Amit Srikant Gharpure | Dentist | 1959 Ne Pacific Street Health Science Center Room B-403, Seattle, WA 98195-0001 | 2020-05-10 |
| 1922632843 | Jessica Hsu | Dentist | 625 4th Ave Ste 201, Kirkland, WA 98033-9028 | 2020-02-29 |
| 1992338891 | Ehsan Zahedi | Dentist | 18009 Highway 99 Ste F, Lynnwood, WA 98037-4499 | 2020-02-19 |
| 1780142729 | Shoko Sato | Dentist | 2505 S 320th St Ste 330, Federal Way, WA 98003-5461 | 2019-03-08 |
| 1942738497 | Yu Lwo | Dentist | 1740 Nw Maple St Ste 110, Issaquah, WA 98027-8000 | 2017-05-30 |
| 1134677792 | Mill Creek Implants & Periodontics | Dentist | 15130 Main St Ste 210, Mill Creek, WA 98012-7370 | 2016-09-13 |
| 1164890026 | Shih-chung Liao | Dentist | 720 Olive Way Ste 810, Seattle, WA 98101-1836 | 2015-09-09 |
| 1225445539 | Implant & Periodontic Specialists | Dentist | 1418 112th Ave Ne Suite 100, Bellevue, WA 98004 | 2014-07-18 |
| 1093147068 | Etheridge Family Dentistry | Dentist | 3130 E Madison St Ste 103, Seattle, WA 98112-4221 | 2013-08-01 |
| Find all providers with the same taxonomy | ||||
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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.