Individual provider Active NPI

Michael Doane Karr, DDS

  • Dentist
  • Granite Falls, WA
National Provider Identifier
1154481646
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
WA5446 Issued in WA
Practice address
405 S. Granite Ave
Granite Falls, WA 98252
Phone
(360) 691-7793
Fax
(360) 691-5577
NPI assigned
Dec 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X WA5446 WA Primary

Addresses

Primary practice location

405 S. Granite Ave
Granite Falls, WA 98252

Mailing address

PO Box 959
Granite Falls, WA 98252-0959
Phone (360) 691-7793

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
WA5446WAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
David a Gore DDS PLLC PastSince Sep 6, 2020 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.

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154481646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 959",
            "city": "GRANITE FALLS",
            "state": "WA",
            "postal_code": "982520959",
            "telephone_number": "360-691-7793",
            "fax_number": "360-691-5577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 S. GRANITE AVE",
            "city": "GRANITE FALLS",
            "state": "WA",
            "postal_code": "98252",
            "telephone_number": "360-691-7793",
            "fax_number": "360-691-5577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARR",
        "first_name": "MICHAEL",
        "middle_name": "DOANE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "WA5446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granite Falls, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.