Gayle Wallace Deboom, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

27421 Issued in CA

Practice address

VA Puget Sound Amer Lake DV # A112
9600 Veterans Drive, BLDG. 85
Tacoma, WA 98493-5000

Phone

(253) 589-4005

Fax

(253) 589-4162

NPI assigned

Sep 6, 2006

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265535132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9600 VETERANS DRIVE BLDG 85",
            "address_2": "VA PUGET SOUND - AMER LAKE DIV, (A112)",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984935000",
            "telephone_number": "253-589-4005",
            "fax_number": "253-589-4162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VA PUGET SOUND AMER LAKE DV # A112",
            "address_2": "9600 VETERANS DRIVE, BLDG. 85",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984935000",
            "telephone_number": "253-589-4005",
            "fax_number": "253-589-4162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBOOM",
        "first_name": "GAYLE",
        "middle_name": "WALLACE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "27421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane K. Debiec, LICSW
• Jonathan Hal Deboard
• Rachel Deboer, PA-C
• Sarah Whitney Deboer, M.ED
• Sonya Ann-Marie Deboer, MC, LMFT
• Deborah E. Jones Psychiatry & Mental Wellness, PLLC
• Deborah J Ayars MD (Commencement Bay Pediatrics)
• Linda Jean Decarlo, RN, RNFA, ARNP
• Ashley Decaro
• Brenda Decker

• Dentist in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Dentist 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.