Individual provider Active NPI

Lauren Nicole Van Gemert, D.D.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Spokane, WA
National Provider Identifier
1285045583
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DE60615115 Issued in WA
Practice address
1118 S Perry St
Spokane, WA 99202-3525
Phone
(509) 688-0688
Fax
(509) 340-8939
NPI assigned
May 8, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DE60615115 WA Primary

Addresses

Primary practice location

1118 S Perry St
Spokane, WA 99202-3525

Mailing address

1118 S Perry St
Spokane, WA 99202-3525
Phone (509) 688-0688

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DE60615115WAMDOrthodontics and Dentofacial Orthopedic Dentist

NPI Registry JSON

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

{
    "created_epoch": "1399507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1285045583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1118 S PERRY ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992023525",
            "telephone_number": "509-688-0688",
            "fax_number": "509-340-8939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 S PERRY ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992023525",
            "telephone_number": "509-688-0688",
            "fax_number": "509-340-8939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN GEMERT",
        "first_name": "LAUREN",
        "middle_name": "NICOLE",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-08",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WA",
            "license": "DE60615115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.