Beatrice Gandara, DDS, MSD

Primary specialty

DentistTaxonomy code 122300000X

License

DE00005793 Issued in WA

Practice address

1959 NE Pacific St
HSB - B221
Seattle, WA 98195-0001

Phone

(206) 685-2937

Fax

(206) 616-8577

NPI assigned

Oct 12, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• University of Washington

  dba University of Washington Medical Center

  • General Acute Care Hospital
  • Seattle, WA
  • NPI 1326002049
  Medicare reassignment NPD
• University of Washington

  dba University of Washington Medical Center Ambulatory

  • Community/Retail Pharmacy
  • Seattle, WA
  • NPI 1013950336
  NPD
• University of Washington

  dba UW - Dentists Oral Pathology

  • Oral and Maxillofacial Pathology Dentistry
  • Seattle, WA
  • NPI 1104900398
  NPD
• Uw School of Dentistry

  dba School of Dentistry

  • Dentist
  • Seattle, WA
  • NPI 1972676971
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192665600000",
    "number": "1437248689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1959 NE PACIFIC ST",
            "address_2": "PO BOX 357131",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981950001",
            "telephone_number": "206-685-2937",
            "fax_number": "206-616-8577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1959 NE PACIFIC ST",
            "address_2": "HSB - B221",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981950001",
            "telephone_number": "206-685-2937",
            "fax_number": "206-616-8577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANDARA",
        "first_name": "BEATRICE",
        "credential": "DDS, MSD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00005793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5013198",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L AND I",
            "identifier": "143779",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Willy Trejo Gan, MD
• Shireen Sita Ganapathi
• Jane Ganas Long, M.A.
• Prashanthi Ganathi, MD
• Peter Ganda
• Isabella Gandara, RN
• Robert Gander, OD
• Carrie Gandhi, DDS
• Vaishnavi Gandhi, PA-C
• Victoria P Gandia, ARNP

• Dentist in Seattle, WA
• Providers in Seattle, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.