David Gage DMD PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DE60472401 Issued in WA

Legal business name

DAVID GAGE DMD PLLC

Practice address

205 W Fairhaven Ave Ste B
Burlington, WA 98233-1062

Phone

(360) 757-0651

Fax

(360) 757-3741

NPI assigned

Feb 22, 2018

Organization subpart

No

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

Authorized official

Name

Dr. David Alexander Gage, DMD

Title

Dentist

Phone

(360) 757-0651

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• David Gage DMD Former legal business name

Locations

Practitioners 1

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

• Richard Wilson Nash, DDS

  • General Practice Dentistry
  • Burlington, WA
  • NPI 1316085541
  NPD (past)

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

{
    "created_epoch": "1519257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1255832663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 W FAIRHAVEN AVE STE B",
            "city": "BURLINGTON",
            "state": "WA",
            "postal_code": "982331062",
            "telephone_number": "360-757-0651",
            "fax_number": "360-757-3741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 W FAIRHAVEN AVE STE B",
            "city": "BURLINGTON",
            "state": "WA",
            "postal_code": "982331062",
            "telephone_number": "360-757-0651",
            "fax_number": "360-757-3741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID GAGE DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-22",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "GAGE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "360-757-0651",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "DE60472401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1952719957",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1952719957",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "David Gage DMD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Curtis K. Wade, DDS,PS
• Jennifer Cutinho, OD
• Jill T. Czadek, BHA
• Jolanta Czaicka-Kotlarczyk
• Dana Dardis, M.ED. SUDPT
• Rainy Ella Day, DC, PA
• Amanda K. De Vries, LMP
• Laura Ellen Defreese, BS
• Alice Dellisanti, D.D.S.
• Dental Care Burlington Wa

• Dental Clinic/Center in Burlington, WA
• Providers in Burlington, WA by specialty
• Dental Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.