Active NPI
Gina Lightner
- Dentist
- Issaquah, WA
National Provider Identifier
1114519683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN1859297
- Practice address
- 3707 Providence Point Drive SE
Suite E
Issaquah, WA 98029-6216 - Phone
- (425) 391-1331
- Fax
- (425) 391-5021
- NPI assigned
- Feb 6, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Dentist | 122300000X | DN1859297 | MA | Primary |
Addresses
Primary practice location
3707 Providence Point Drive SE
Suite E
Issaquah, WA 98029-6216
Mailing address
3707 Providence Point Drive SE
Suite E
Issaquah, WA 98029-6216
Phone (425) 391-1331
Other practice location 1
21 Merchants Row Ste 2A
Boston, MA 02109-2040
Phone (617) 523-0688
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN1859297 | MA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amar DDS PLLC. | Current | Accepting new patients | |
| Dkeidek, Fernyhough, Gile, Hagel, Nov & Quickstad PLLC | Dentist | Past | Accepting new patients |
Locations
16150 NE 85th St
Ste 115
Redmond, WA 98052
Phone (206) 208-9168
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dental Clinic/Center
- Redmond, WA
- NPI 1073479069
-
- Dentist
- Issaquah, WA
- NPI 1891652038
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779840000000",
"number": "1114519683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3707 PROVIDENCE POINT DRIVE SE",
"address_2": "SUITE E",
"city": "ISSAQUAH",
"state": "WA",
"postal_code": "980296216",
"telephone_number": "425-391-1331",
"fax_number": "425-391-5021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3707 PROVIDENCE POINT DRIVE SE",
"address_2": "SUITE E",
"city": "ISSAQUAH",
"state": "WA",
"postal_code": "980296216",
"telephone_number": "425-391-1331",
"fax_number": "425-391-5021"
}
],
"practiceLocations": [
{
"address_1": "21 Merchants Row Ste 2A",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021092040",
"country_code": "US",
"telephone_number": "617-523-0688",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIGHTNER",
"first_name": "GINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-06",
"last_updated": "2026-05-27",
"certification_date": "2026-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "DN1859297",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Issaquah, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.