Individual provider Active NPI

Arthur Dale Gage, D.D.S.

  • Endodontics
  • Long Beach, CA
National Provider Identifier
1467445809
Registry record updated Aug 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
39263 Issued in CA
Practice address
6226 E Spring St
Suite 340
Long Beach, CA 90815-1423
Phone
(562) 420-1461
Fax
(562) 425-8782
NPI assigned
Aug 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 39263 CA Primary
Endodontics 1223E0200X DT 2116 HI

Addresses

Primary practice location

6226 E Spring St
Suite 340
Long Beach, CA 90815-1423

Mailing address

6226 E Spring St
Suite 340
Long Beach, CA 90815-1423
Phone (562) 420-1461

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20150807015653 CA Order and Referring Only - DentistPractitioner - Dentist 6305150046

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
39263CAMDEndodontist
DT 2116HIMDEndodontist

NPI Registry JSON

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250035200000",
    "number": "1467445809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6226 E SPRING ST",
            "address_2": "SUITE 340",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908151423",
            "telephone_number": "562-420-1461",
            "fax_number": "562-425-8782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6226 E SPRING ST",
            "address_2": "SUITE 340",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908151423",
            "telephone_number": "562-420-1461",
            "fax_number": "562-425-8782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAGE",
        "first_name": "ARTHUR",
        "middle_name": "DALE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2009-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "39263",
            "primary": true
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "HI",
            "license": "DT 2116",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.