Organization Active NPI

Quirt, Mongrain, Gibree, P.C.

  • Dentist
  • Redmond, WA
National Provider Identifier
1043942246
Registry record updated Jun 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
QUIRT, MONGRAIN, GIBREE, P.C.
Practice address
16150 NE 85TH St Ste 126
Redmond, WA 98052-3544
Phone
(425) 881-6699
NPI assigned
Jun 27, 2022
Organization subpart
Yes
Parent organization
QUIRT, MONGRAIN, GIBREE, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 27, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Courtney Monteith
Title
Credentialing Coordinator
Phone
(217) 540-8306

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

16150 NE 85TH St Ste 126
Redmond, WA 98052-3544

Mailing address

16150 NE 85TH St Ste 126
Redmond, WA 98052-3544

Other names 1

  • Smiles Artistry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Quirt Mongrain Gibree PC5 organizations share this tax ID, including this one
Part of
Quirt Mongrain Gibree PC

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

16150 NE 85th St
Ste 126
Redmond, WA 98052
Phone (425) 881-6699

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1656288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656288000000",
    "number": "1043942246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16150 NE 85TH ST STE 126",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16150 NE 85TH ST STE 126",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523544",
            "telephone_number": "425-881-6699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUIRT, MONGRAIN, GIBREE, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "QUIRT, MONGRAIN, GIBREE, P.C.",
        "enumeration_date": "2022-06-27",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A",
        "authorized_official_last_name": "MONTEITH",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "217-540-8306"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smiles Artistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Redmond, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.