Individual provider Active NPI

Garrett Glynn Gentling, D.D.S.

  • General Practice Dentistry
  • Shoreline, WA
National Provider Identifier
1376927053
Registry record updated Mar 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE60687419 Issued in WA
Practice address
1207 N 200TH St Ste 220
Shoreline, WA 98133-3213
Phone
(206) 546-4815
Fax
(206) 546-2375
NPI assigned
Jul 13, 2015
Last updated
Mar 19, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DT 2605 HI
General Practice Dentistry 1223G0001X DE60687419 WA Primary

Addresses

Primary practice location

1207 N 200TH St Ste 220
Shoreline, WA 98133-3213

Mailing address

1207 N 200TH St Ste 220
Shoreline, WA 98133-3213
Phone (206) 546-4815

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@gentlingsmiles.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161011002326 WA Order and Referring Only - DentistPractitioner - Dentist 4284922097

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DT 2605HIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Garrett Gentling DDS PLLC PastSince Mar 22, 2020 Accepting new patients
Stephen Macgeorge DDS PastSince Mar 22, 2020 Accepting new patients
Pearlridge Dental Care, LLC Dentist PastSince Oct 30, 2022 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1436745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584576000000",
    "number": "1376927053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 N 200TH ST STE 220",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981333213",
            "telephone_number": "206-546-4815",
            "fax_number": "206-546-2375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 N 200TH ST STE 220",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981333213",
            "telephone_number": "206-546-4815",
            "fax_number": "206-546-2375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENTLING",
        "first_name": "GARRETT",
        "middle_name": "GLYNN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-13",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "HI",
            "license": "DT 2605",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60687419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@gentlingsmiles.com",
            "affiliation": "N",
            "endpointDescription": "Gentling Smiles E-mail",
            "address_1": "1207 N 200th St Ste 220",
            "city": "Shoreline",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981333213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Shoreline, WA

Sources for this page

Verify at the official NPI Registry.