Megan Elissa Lichtwardt, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE60819089 Issued in WA

Practice address

5122 Olympic Drive Suite B102
Gig Harbor, WA 98335

Phone

(253) 851-1190

Fax

(253) 851-2183

NPI assigned

Oct 1, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Megan Elissa Gilbert Former name

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 and National Provider Directory roles.

• Hughes and Clarke, PLLC

  • General Practice Dentistry
  • Gig Harbor, WA
  • NPI 1326119496
  NPD (past)
• Peter Elton DMD PLLC

  • Dentist
  • Gig Harbor, WA
  • NPI 1578906038
  NPD (past)

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

{
    "created_epoch": "1222819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1205087996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5122 OLYMPIC DRIVE SUITE B102",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "98335",
            "telephone_number": "253-851-1190",
            "fax_number": "253-851-2183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5122 OLYMPIC DRIVE SUITE B102",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "98335",
            "telephone_number": "253-851-1190",
            "fax_number": "253-851-2183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LICHTWARDT",
        "first_name": "MEGAN",
        "middle_name": "ELISSA",
        "name_prefix": "Mrs.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-01",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60819089",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS037479",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "GILBERT",
            "middle_name": "ELISSA",
            "prefix": "MS.",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lewis Family Chiropractic & Wellness, PLLC
• Tanya Murdock Lewis, M.S., M.A., LMFT
• Xiao Kristin Liang, MD
• Vanson Reyes Libre, M.D.
• Melissa Sue Lichau, LMHC
• Sarah May Lidren, L.M.P.
• Calli Light, PT, DPT
• Susanne Faulkner Liljegren, MA
• Jacqueline Elizabeth Lincoln-Lien, RN
• Linda J Macdonald, M.S.

• General Practice Dentistry in Gig Harbor, WA
• Providers in Gig Harbor, 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 Mar 9, 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.