Organization Active NPI

Mike Gile DDS PLLC

  • Dental Clinic/Center
  • Mercer Island, WA
National Provider Identifier
1548680432
Registry record updated Apr 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MIKE GILE DDS PLLC
Practice address
2737 77TH Ave SE
212
Mercer Island, WA 98040-2830
Phone
(206) 232-5710
NPI assigned
Apr 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2014

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

Authorized official

Name
Michelle Mayo
Title
Business Manager
Phone
(206) 232-5710

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X WA Primary

Addresses

Primary practice location

2737 77TH Ave SE
212
Mercer Island, WA 98040-2830

Mailing address

2737 77TH Ave SE
212
Mercer Island, WA 98040-2830

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1397779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397779200000",
    "number": "1548680432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2737 77TH AVE SE",
            "address_2": "212",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980402830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2737 77TH AVE SE",
            "address_2": "212",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980402830",
            "telephone_number": "206-232-5710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIKE GILE DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-18",
        "last_updated": "2014-04-18",
        "status": "A",
        "authorized_official_last_name": "MAYO",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "206-232-5710"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mercer Island, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2014; 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.