Individual provider Active NPI

Gentai Ni, DDS

  • General Practice Dentistry
  • Bellevue, WA
National Provider Identifier
1326692013
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE61007817 Issued in WA
Practice address
11216 NE 15TH St Ste a
Bellevue, WA 98004-3724
Phone
(425) 454-3221
Fax
(888) 299-5920
NPI assigned
Jul 30, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DE61007817 WA Primary
Dentist 122300000X DE61007817 WA

Addresses

Primary practice location

11216 NE 15TH St Ste a
Bellevue, WA 98004-3724

Mailing address

11216 NE 15TH St Ste a
Bellevue, WA 98004-3724
Phone (425) 454-3221

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
DE61007817WAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Anabella Dental Dentist Past Accepting new patients
Sleep Better Bellevue PLLC Dentist PastSince May 28, 2023 Accepting new patients
Dr Mileski DDS II PLLC General Practice PastSince Dec 1, 2019 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1564444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1326692013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11216 NE 15TH ST STE A",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043724",
            "telephone_number": "425-454-3221",
            "fax_number": "888-299-5920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11216 NE 15TH ST STE A",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043724",
            "telephone_number": "425-454-3221",
            "fax_number": "888-299-5920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NI",
        "first_name": "GENTAI",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-30",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE61007817",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE61007817",
            "primary": false
        }
    ],
    "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 Jun 8, 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.

Verify at the official NPI Registry.