Active NPI
Jason Gov
- Dentist
- Bellevue, WA
National Provider Identifier
1326408683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DE60728381
- Practice address
- 1050 140TH Ave NE
Bellevue, WA 98005-2972 - Phone
- (425) 373-3000
- NPI assigned
- Feb 29, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | DE60728381 | WA | Primary |
Addresses
Primary practice location
1050 140TH Ave NE
Bellevue, WA 98005-2972
Mailing address
1830 160TH Ave NE
Bellevue, WA 98008-2507
Phone (425) 279-3031
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 |
|---|---|---|---|
| DE60728381 | WA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1501459200000",
"number": "1326408683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1830 160TH AVE NE",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980082507",
"telephone_number": "425-279-3031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 140TH AVE NE",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980052972",
"telephone_number": "425-373-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOV",
"first_name": "JASON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-02-29",
"last_updated": "2017-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "DE60728381",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.