Individual provider Active NPI

Amit Srikant Gharpure, BDS

  • Periodontics
  • Seattle, WA
National Provider Identifier
1467074757
Registry record updated May 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
DE60976993 Issued in WA
Practice address
1959 NE Pacific Street Health Science Center Room B-403
Seattle, WA 98195-0001
Phone
(206) 543-5797
NPI assigned
May 10, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X DE60976993 WA Primary

Addresses

Primary practice location

1959 NE Pacific Street Health Science Center Room B-403
Seattle, WA 98195-0001

Mailing address

4139 12TH Ave NE Apt 409
Seattle, WA 98105-6340
Phone (425) 615-2599

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
I20251013003187 WA Order and Referring Only - DentistPractitioner - Dentist 0749777902

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DE60976993WAMDPeriodontist

NPI Registry JSON

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

{
    "created_epoch": "1589068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589068800000",
    "number": "1467074757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4139 12TH AVE NE APT 409",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981056340",
            "telephone_number": "425-615-2599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1959 NE PACIFIC STREET HEALTH SCIENCE CENTER ROOM B-403",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981950001",
            "telephone_number": "206-543-5797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHARPURE",
        "first_name": "AMIT",
        "middle_name": "SRIKANT",
        "name_prefix": "Dr.",
        "credential": "BDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-10",
        "last_updated": "2020-05-10",
        "certification_date": "2020-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "WA",
            "license": "DE60976993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.