Individual provider Active NPI

Gwen Nomi, RDH

  • Dental Hygienist
  • Kirkland, WA
National Provider Identifier
1144809559
Registry record updated Apr 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
DH00002624 Issued in WA
Practice address
6507 132ND Ave NE
Kirkland, WA 98033-8628
Phone
(425) 881-9333
NPI assigned
Apr 4, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X DH00002624 WA Primary

Addresses

Primary practice location

6507 132ND Ave NE
Kirkland, WA 98033-8628

Mailing address

17450 SE 40TH PL
Bellevue, WA 98008-5904
Phone (206) 999-8316

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

LicenseStateTypeSpecialty
DH00002624WAMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Dkeidek, Fernyhough, Gile, Hagel, Nov & Quickstad PLLC CurrentSince Dec 21, 2025 Accepting new patients
Russell K. Nomi, DDS, PS PastSince Apr 11, 2021 Accepting new patients

Locations

6507 132nd Ave NE
Kirkland, WA 98033
Phone (425) 881-9333

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.

NPI Registry JSON

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

{
    "created_epoch": "1617494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617494400000",
    "number": "1144809559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17450 SE 40TH PL",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980085904",
            "telephone_number": "206-999-8316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6507 132ND AVE NE",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980338628",
            "telephone_number": "425-881-9333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOMI",
        "first_name": "GWEN",
        "credential": "RDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-04",
        "last_updated": "2021-04-04",
        "certification_date": "2021-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "WA",
            "license": "DH00002624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2021; 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.