NPIMap

Organization Active NPI

Gentle Dentistry

  • General Practice Dentistry
  • Mount Vernon, WA
National Provider Identifier
1205089232
Registry record updated Nov 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4779 Issued in WA
Legal business name
GENTLE DENTISTRY
Practice address
2100 E Section St Ste 101
Mount Vernon, WA 98274-9132
Phone
(360) 424-1990
NPI assigned
Nov 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2008

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

Authorized official

Name
Dr. Howard Mizuta, DDSNPI 1053305953
Title
Dentist
Phone
(360) 424-1990

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 4779 WA Primary

Addresses

Primary practice location

2100 E Section St Ste 101
Mount Vernon, WA 98274-9132

Mailing address

2100 E Section St Ste 101
Mount Vernon, WA 98274-9132
Phone (360) 424-1990

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1225756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225756800000",
    "number": "1205089232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 E SECTION ST STE 101",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982749132",
            "telephone_number": "360-424-1990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 E SECTION ST STE 101",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982749132",
            "telephone_number": "360-424-1990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTLE DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-04",
        "last_updated": "2008-11-04",
        "status": "A",
        "authorized_official_last_name": "MIZUTA",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "360-424-1990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "4779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.

Verify at the official NPI Registry.