NPI 1396043014 · live from the CMS NPI Registry
Lana Nysse, DDS
Dentist, Orthodontics and Dentofacial Orthopedics in Spokane Valley, WA. National Provider Identifier 1396043014, active.
NPI record
| NPI | 1396043014 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 9019 E Mission Ave, Spokane Valley, WA 99212 |
| Practice phone | 855-433-6825 |
| Mailing address | 6950 Ne Campus Way, Hillsboro, OR 97124 |
| Enumerated | March 3, 2011 |
| Last updated | June 15, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 60824167 (WA) |
| Dentist, Orthodontics and Dentofacial Orthopedics | 1223X0400X | D-5446-OR (ID) |
| Dentist, Orthodontics and Dentofacial Orthopedics | 1223X0400X | 10490 (CO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.