NPIMap

Organization Active NPI

Dkeidek, Fernyhough, Gile, Hagel, Nov & Quickstad PLLC

  • Periodontics
  • Mercer Island, WA
National Provider Identifier
1164360855
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
DKEIDEK, FERNYHOUGH, GILE, HAGEL, NOV & QUICKSTAD PLLC
Practice address
2737 77TH Ave SE Ste 212
Mercer Island, WA 98040-2832
Phone
(206) 232-0683
NPI assigned
Mar 23, 2026
Last updated
Mar 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Authorized official

Name
Jana Johnson
Title
RCM
Phone
(206) 430-2274

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X Primary

Addresses

Primary practice location

2737 77TH Ave SE Ste 212
Mercer Island, WA 98040-2832

Mailing address

2737 77TH Ave SE Ste 212
Mercer Island, WA 98040-2832
Phone (206) 232-0683

National Provider Directory

National Provider Directory
Tax ID family
Dkeidek Fernyhough Gile Hagel Nov Quickstad PLLC24 organizations share this tax ID, including this one

Other organizations with this tax ID 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1774224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774224000000",
    "number": "1164360855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2737 77TH AVE SE STE 212",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980402832",
            "telephone_number": "206-232-0683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2737 77TH AVE SE STE 212",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980402832",
            "telephone_number": "206-232-0683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DKEIDEK, FERNYHOUGH, GILE, HAGEL, NOV & QUICKSTAD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-23",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JANA",
        "authorized_official_title_or_position": "RCM",
        "authorized_official_telephone_number": "206-430-2274"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mercer Island, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.

Verify at the official NPI Registry.