Individual provider Active NPI

Michael Giovine, DMD

  • Dentist
  • Marysville, WA
National Provider Identifier
1346618667
Registry record updated Sep 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE60581954 Issued in WA
Practice address
6618 64TH St NE Ste C
Marysville, WA 98270-4883
Phone
(360) 651-2900
NPI assigned
Sep 2, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DE60581954 WA Primary

Addresses

Primary practice location

6618 64TH St NE Ste C
Marysville, WA 98270-4883

Mailing address

12113 58TH PL SE
Snohomish, WA 98290-5529
Phone (425) 501-7113

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
DE60581954WAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Michael Giovine DMD PLLC CurrentSince Jan 4, 2026 Accepting new patients
Ludu Sharma Professional Services PLLC Dentist Past Accepting new patients
Ludu Sharma PLLC Dentist PastSince Sep 22, 2020 Accepting new patients

Locations

6618 64th St NE
Ste C
Marysville, WA 98270
Phone (360) 651-2900

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": "1441152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441152000000",
    "number": "1346618667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12113 58TH PL SE",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982905529",
            "telephone_number": "425-501-7113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6618 64TH ST NE STE C",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982704883",
            "telephone_number": "360-651-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIOVINE",
        "first_name": "MICHAEL",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-02",
        "last_updated": "2015-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60581954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marysville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2015; 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.