Nadereh Ghanee, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8353 Issued in WA

Practice address

1538 11TH Ave
Longview, WA 98632-4123

Phone

(360) 636-3400

Fax

(360) 578-1277

NPI assigned

May 23, 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 1

Medicare fee-for-service enrollment

Enrolled in OR

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

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1487609988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1538 11TH AVE",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986324123",
            "telephone_number": "360-636-3400",
            "fax_number": "360-578-1277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1538 11TH AVE",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986324123",
            "telephone_number": "360-636-3400",
            "fax_number": "360-578-1277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHANEE",
        "first_name": "NADEREH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "8353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5031422",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Suzanne Gerhardt, RN
• Suzanne Gerhart, P.T.
• German Wise Dental LLC
• Hugh Gesher
• Sarah Jayne Getman, MA,CTSS,LMHC,NCC
• Kendra Gibb, RDH
• Kristin Joy Gibb
• Clayton Adam Gibbons, PT
• John M Gibson, M.D
• Korry Gilbert, MA, LMHC

• General Practice Dentistry in Longview, WA
• Providers in Longview, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; 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.