Gary L Chin, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DE9814 Issued in WA

Practice address

1130 140TH Ave NE Ste 100B
1130 140TH Ave. NE, #100B
Bellevue, WA 98005-2974

Phone

(425) 746-6090

Fax

(425) 747-9856

NPI assigned

Sep 14, 2007

Last updated

Sep 14, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Gary L Chin Professional name

Medicare fee-for-service enrollment

Enrolled in WA

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ez Dent Denture Clinic Inc

  • Denturist
  • Bellevue, WA
  • NPI 1760564538

  Dentist

  NPD (past)

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

{
    "created_epoch": "1189728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189728000000",
    "number": "1619163417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 140TH AVE NE STE 100B",
            "address_2": "1130 140TH AVE. NE, #100B",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052974",
            "telephone_number": "425-746-6090",
            "fax_number": "425-747-9856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 140TH AVE NE STE 100B",
            "address_2": "1130 140TH AVE. NE, #100B",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052974",
            "telephone_number": "425-746-6090",
            "fax_number": "425-747-9856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIN",
        "first_name": "GARY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-14",
        "last_updated": "2007-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE9814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GARY",
            "last_name": "CHIN",
            "middle_name": "L",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Gentle Chikani, RD
• Amy Marie Chilcote, LMHC
• Danielle Rae Chilcott
• Childrens Hospital
• Gary Phillip Chimes, MD,PHD
• Katrina Chin, MD
• Marina Chin, L.M.P.
• Roger S Chin, DDS
• Taryn Chin, MA
• Rena Chinn, LMHC

• Dentist in Bellevue, WA
• Providers in Bellevue, 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, 2007; 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.