Gentle Endodontics of Kent

Primary specialty

DentistTaxonomy code 122300000X

License

60103522 Issued in WA

Legal business name

GENTLE ENDODONTICS OF KENT

Practice address

24401 104TH Ave SE
Suite 202
Kent, WA 98030-4903

Phone

(253) 850-6999

NPI assigned

Sep 14, 2016

Organization subpart

No

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

Authorized official

Name

Vahid AtabakhshNPI 1710049119

Title

Owner

Phone

(253) 852-1332

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vahid All Atabakhsh, D.D.S

  • Endodontics
  • Kent, WA
  • NPI 1710049119
  NPD (past) Authorized official

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

{
    "created_epoch": "1473811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473811200000",
    "number": "1508314097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24401 104TH AVE SE",
            "address_2": "SUITE 202",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980304903",
            "telephone_number": "253-850-6999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24401 104TH AVE SE",
            "address_2": "SUITE 202",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980304903",
            "telephone_number": "253-850-6999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTLE ENDODONTICS OF KENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-14",
        "last_updated": "2016-09-14",
        "status": "A",
        "authorized_official_last_name": "ATABAKHSH",
        "authorized_official_first_name": "VAHID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-852-1332"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "60103522",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ENDODONTIST",
            "identifier": "1710049119",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ENDODONTIST",
            "identifier": "1104292887",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexandra Gelt, O.D.
• Gem Magic Healing, Inc
• Aklile Tsegie Genet
• Genoa Healthcare LLC
• Gentiva Health Services (USA), Inc.
• Emily Marie George
• Alex Gerace
• Oksana Gerasimova
• Amanda Gerkin, LICSWA
• Matthew Gerstl

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.