Active NPI
Malinda Lam Gershony, D.D.S.
- General Practice Dentistry
- Redmond, WA
National Provider Identifier
1295886422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DE9307
- Practice address
- 16710 NE 79TH St Ste 100
Redmond, WA 98052-4466 - Phone
- (425) 867-1484
- Fax
- (425) 895-9555
- NPI assigned
- Jan 15, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DE9307 | WA | Primary |
Addresses
Primary practice location
16710 NE 79TH St Ste 100
Redmond, WA 98052-4466
Mailing address
6628 188TH PL NE
Redmond, WA 98052-8599
Phone (425) 885-9851
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
| License | State | Type | Specialty |
|---|---|---|---|
| DE9307 | WA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daciana Buse DDS, MSD, PLLC | General Practice | Past | Accepting new patients |
| NW Family Dental | General Practice | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Practice Dentistry
- Redmond, WA
- NPI 1396290094
-
- General Practice Dentistry
- Redmond, WA
- NPI 1407172406
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775001600000",
"number": "1295886422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6628 188TH PL NE",
"city": "REDMOND",
"state": "WA",
"postal_code": "980528599",
"telephone_number": "425-885-9851",
"fax_number": "425-885-9851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16710 NE 79TH ST STE 100",
"city": "REDMOND",
"state": "WA",
"postal_code": "980524466",
"telephone_number": "425-867-1484",
"fax_number": "425-895-9555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERSHONY",
"first_name": "MALINDA",
"middle_name": "LAM",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-15",
"last_updated": "2026-04-01",
"certification_date": "2026-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WA",
"license": "DE9307",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redmond, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.