SUSAN MAHAN KOHLS DDS PS
NPI 1093654170
Clinic/Center - Dental in Spokane, WA

Active since March 25, 2026CLIA 50D2201130 · Waiver
2020 E 29TH AVE STE 100, SPOKANE, WA 99203(509) 534-0428(509) 534-5189 Get Directions Write a Review

NPPES record last updated: March 25, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Susan Mahan Kohls Dds Ps NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSAN MAHAN KOHLS DDS PS (NPI 1093654170) is a healthcare organization registered as a dental in Spokane, Washington and active in the NPI registry since March 2026. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Susan Mahan Kohls, Owner, as its authorized official.

NPPES Registry Identity

NPI1093654170
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameSUSAN MAHAN KOHLS DDS PS
Location Address2020 E 29TH AVE STE 100Spokane, WA 99203-3917
Mailing Address2020 E 29th Ave Ste 100Spokane, WA 99203-3917 · (509) 534-0428 · Fax (509) 534-5189
Fax(509) 534-5189
Organization SubpartNo
Authorized OfficialSusan Mahan KohlsOwner · (509) 534-0428
Enumeration DateMarch 25, 2026
NPPES CertifiedMarch 25, 2026
NPI 1093654170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
2020 E 29TH AVE STE 100, Spokane, WA 99203

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 50D2201130

Susan Mahan Kohls Dds · Spokane, WA
Active · expires Apr 4, 2028
CLIA Number50D2201130
Laboratory TypeDental Office
Certificate Effective DateNovember 18, 2020
Certificate Expiration DateApril 4, 2028
Laboratory DirectorSusan Mahan Kohls
Laboratory Phone(509) 534-0428
Laboratory LocationSusan Mahan Kohls Dds2020 E 29th Ave Ste 100, Spokane, WA 99203
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Dental)
2020 E 29TH AVE STE 100
SPOKANE, WA 99203
Dentist (General Practice)
2020 E 29TH AVE STE 100
SPOKANE, WA 99203

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan Mahan Kohls Dds Ps's NPI number?

The NPI number for Susan Mahan Kohls Dds Ps is 1093654170. It was assigned to this organization in the NPPES registry on March 25, 2026.

Where is Susan Mahan Kohls Dds Ps located?

Susan Mahan Kohls Dds Ps is located at 2020 E 29th Ave Ste 100, Spokane, WA 99203. The listed phone number is (509) 534-0428.

What is Susan Mahan Kohls Dds Ps's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

Does Susan Mahan Kohls Dds Ps hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2201130) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Susan Mahan Kohls Dds Ps was last updated on March 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.