Active NPI
Willis P Gabel, DDS, MS
- Endodontics
- Issaquah, WA
National Provider Identifier
1174606784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 6359
- Practice address
- 22500 SE 64TH PL
Suite 110
Issaquah, WA 98027-8111 - Phone
- (425) 427-1120
- Fax
- (425) 427-1125
- NPI assigned
- Oct 24, 2006
- Last updated
- Nov 10, 2008
- 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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 6359 | WA | Primary |
Addresses
Primary practice location
22500 SE 64TH PL
Suite 110
Issaquah, WA 98027-8111
Mailing address
22500 SE 64TH PL
Suite 110
Issaquah, WA 98027-8111
Phone (425) 427-1120
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6359 | WA | MD | Endodontist |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226275200000",
"number": "1174606784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22500 SE 64TH PL",
"address_2": "SUITE 110",
"city": "ISSAQUAH",
"state": "WA",
"postal_code": "980278111",
"telephone_number": "425-427-1120",
"fax_number": "425-427-1125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22500 SE 64TH PL",
"address_2": "SUITE 110",
"city": "ISSAQUAH",
"state": "WA",
"postal_code": "980278111",
"telephone_number": "425-427-1120",
"fax_number": "425-427-1125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GABEL",
"first_name": "WILLIS",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "DDS, MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-24",
"last_updated": "2008-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "WA",
"license": "6359",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Issaquah, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.