NPIMap

Organization Active NPI

Gentle Touch Dental Group

  • Dentist
  • Bothell, WA
National Provider Identifier
1548345697
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6076 Issued in WA
Legal business name
GENTLE TOUCH DENTAL GROUP
Practice address
17917 Bothell Everett Hwy
Suite 305
Bothell, WA 98012-6384
Phone
(425) 481-1038
Fax
(425) 483-3158
NPI assigned
Oct 26, 2006
Last updated
Jun 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Authorized official

Name
Larae Van DerscheldenNPI 1740365873
Title
President
Phone
(425) 481-1038

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 6076 WA Primary

Addresses

Primary practice location

17917 Bothell Everett Hwy
Suite 305
Bothell, WA 98012-6384

Mailing address

17917 Bothell Everett Hwy
Suite 305
Bothell, WA 98012-6384
Phone (425) 481-1038

National Provider Directory

National Provider Directory

Locations

17917 Bothell Everett Hwy
Ste 305
Bothell, WA 98012
Phone (425) 481-1038

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1548345697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17917 BOTHELL EVERETT HWY",
            "address_2": "SUITE 305",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980126384",
            "telephone_number": "425-481-1038",
            "fax_number": "425-483-3158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17917 BOTHELL EVERETT HWY",
            "address_2": "SUITE 305",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980126384",
            "telephone_number": "425-481-1038",
            "fax_number": "425-483-3158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTLE TOUCH DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "VAN DERSCHELDEN",
        "authorized_official_first_name": "LARAE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-481-1038"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "6076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bothell, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.