Active NPI
Ryan Gile
- Dentist
- Port Angeles, WA
National Provider Identifier
1124404082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DE60582469
- Practice address
- 104 W 3Rd St
Port Angeles, WA 98362-2825 - Phone
- (360) 452-9744
- Fax
- (360) 452-5861
- NPI assigned
- Aug 3, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DE60582469 | WA | Primary |
Addresses
Primary practice location
104 W 3Rd St
Port Angeles, WA 98362-2825
Mailing address
104 W 3Rd St
Port Angeles, WA 98362-2825
Phone (360) 452-9744
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 |
|---|---|---|---|
| DE60582469 | WA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doctors Noble Cramer PLLC | Past | Accepting new patients |
Organizations & group practices 1
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
- Port Hadlock, WA
- NPI 1811447816
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438560000000",
"number": "1124404082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 W 3RD ST",
"city": "PORT ANGELES",
"state": "WA",
"postal_code": "983622825",
"telephone_number": "360-452-9744",
"fax_number": "360-452-5861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 W 3RD ST",
"city": "PORT ANGELES",
"state": "WA",
"postal_code": "983622825",
"telephone_number": "360-452-9744",
"fax_number": "360-452-5861"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILE",
"first_name": "RYAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-08-03",
"last_updated": "2015-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "DE60582469",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Angeles, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.