NPIMap

Organization Active NPI

Gary R Feldman DDS MD PS

  • Oral and Maxillofacial Surgery (Dentist)
  • Seattle, WA
National Provider Identifier
1295257384
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
17630 Issued in WA
Legal business name
GARY R FELDMAN DDS MD PS
Practice address
1221 Madison St Ste 1116
Seattle, WA 98104-3536
Phone
(206) 215-2088
Fax
(206) 215-2087
NPI assigned
Jul 11, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
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

Authorized official

Name
Dr. Gary R Feldman, DDS MD PSNPI 1245330059
Title
President
Phone
(206) 215-2088

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 17630 WA Primary
Clinic/Center 261Q00000X 17630 WA

Addresses

Primary practice location

1221 Madison St Ste 1116
Seattle, WA 98104-3536

Mailing address

1221 Madison St Ste 1116
Seattle, WA 98104-3536
Phone (206) 215-2088

Other names 1

  • Gary R Feldman MD DDS PS Other name

National Provider Directory

National Provider Directory

Locations

2530 Perry Ave
Bremerton, WA 98310
Phone (360) 479-4050

2530 Perry Ave
Ste 100
Bremerton, WA 98310
Phone (360) 479-4050

1221 Madison St
Ste 1116
Seattle, WA 98104
Phone (206) 215-2088

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1499731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1295257384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 MADISON ST STE 1116",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981043536",
            "telephone_number": "206-215-2088",
            "fax_number": "206-215-2087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 MADISON ST STE 1116",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981043536",
            "telephone_number": "206-215-2088",
            "fax_number": "206-215-2087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY R FELDMAN DDS MD PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-11",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "FELDMAN",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-215-2088",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MD PS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "WA",
            "license": "17630",
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WA",
            "license": "17630",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gary R Feldman MD DDS PS",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Gary R Feldman MD DDS PS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Seattle, 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.