Arne Erik Gundersen, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE00008494 Issued in WA

Practice address

115 Cleveland Ave SE
Tumwater, WA 98501-7718

Phone

(360) 352-2781

Fax

(360) 352-2784

NPI assigned

Oct 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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.

• Breathe Better Myofunctional Therapy, PLLC

  • Multi-Specialty Clinic/Center
  • Olympia, WA
  • NPI 1003587148
  NPD (past)
• Gundersen Dental Care

  • Dentist
  • Tumwater, WA
  • NPI 1124172150
  NPD (past)

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255413845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 CLEVELAND AVE SE",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985017718",
            "telephone_number": "360-352-2781",
            "fax_number": "360-352-2784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 CLEVELAND AVE SE",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985017718",
            "telephone_number": "360-352-2781",
            "fax_number": "360-352-2784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNDERSEN",
        "first_name": "ARNE",
        "middle_name": "ERIK",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00008494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca E Grondel, LMFT
• Abby G Gross, LMHCA, ATR-P
• Lani Charlene Gross
• Mary A. Gumbo, ARNP
• Gundersen Dental Care
• Laura L Gunther
• Walter S Haley, DDS
• Dona Hall
• Hayley Hall
• Kellie S Hall, LMHCA

• General Practice Dentistry in Tumwater, WA
• Providers in Tumwater, 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.