Imre Gyarmati, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE00007457 Issued in WA

Practice address

9925 214TH Ave E
Suite a
Bonney Lake, WA 98391-3910

Phone

(253) 863-4594

Fax

(253) 863-5061

NPI assigned

Dec 21, 2005

Last updated

Jan 29, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bonney Lake Dental Center

  • General Practice Dentistry
  • Bonney Lake, WA
  • NPI 1477783199
  NPD (past)

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

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233187200000",
    "number": "1174509061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9925 214TH AVE E",
            "address_2": "SUITE A",
            "city": "BONNEY LAKE",
            "state": "WA",
            "postal_code": "983913910",
            "telephone_number": "253-863-4594",
            "fax_number": "253-863-5061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9925 214TH AVE E",
            "address_2": "SUITE A",
            "city": "BONNEY LAKE",
            "state": "WA",
            "postal_code": "983913910",
            "telephone_number": "253-863-4594",
            "fax_number": "253-863-5061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GYARMATI",
        "first_name": "IMRE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-21",
        "last_updated": "2009-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00007457",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLDC TAX ID",
            "identifier": "911907892",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Garry Gregory, PA-C
• Amy Yamei Gu, OD
• Omero Guerrero, DPT
• Shiela A Guinto, ARNP
• Samantha Guthrie
• Robert C Hackett, BA, LMP
• Rebekah Elizabeth Hagen, DPT
• Daniel J Hahn, PA-C
• Thuy-Trang T Hahn, ARNP
• Linden Hale, MS, RD

• General Practice Dentistry in Bonney Lake, WA
• Providers in Bonney Lake, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2009; 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.