Active NPI
Edgar Roman Gomez, DDS
- Dentist
- Seattle, WA
National Provider Identifier
1497329551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DENT.DE.70131492
- Practice address
- 1959 NE Pacific St
Seattle, WA 98195-1450 - Phone
- (206) 543-0903
- NPI assigned
- May 13, 2021
- Reactivated
- Dec 22, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DENT.DE.70131492 | WA | Primary |
| General Practice Dentistry | 1223G0001X | DENT.DE.70131492 | WA |
Addresses
Primary practice location
1959 NE Pacific St
Seattle, WA 98195-1450
Mailing address
1959 NE Pacific St
Seattle, WA 98195-6365
Phone (206) 543-0903
Other practice location 1
8915 14th Ave S Fl 2
Seattle, WA 98108-4813
Phone (206) 762-3263
Other names 1
- Dr. Edgar Roman Gomez Hernandez
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785283200000",
"number": "1497329551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1959 NE PACIFIC ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981956365",
"telephone_number": "206-543-0903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1959 NE PACIFIC ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981951450",
"telephone_number": "206-543-0903"
}
],
"practiceLocations": [
{
"address_1": "8915 14th Ave S Fl 2",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981084813",
"country_code": "US",
"telephone_number": "206-762-3263",
"fax_number": "206-763-6574",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOMEZ",
"first_name": "EDGAR",
"middle_name": "ROMAN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-05-13",
"last_updated": "2026-07-29",
"certification_date": "2026-07-29",
"deactivation_date": "2023-11-07",
"reactivation_date": "2023-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "DENT.DE.70131492",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WA",
"license": "DENT.DE.70131492",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "EDGAR",
"last_name": "GOMEZ HERNANDEZ",
"middle_name": "ROMAN",
"prefix": "DR.",
"credential": "DDS",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; 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.