Beth Anne Gold, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DE00006767 Issued in WA

Practice address

5100 Grove St
Suite a
Marysville, WA 98270-4492

Phone

(360) 659-6732

Fax

(360) 653-6835

NPI assigned

Jul 31, 2006

Sex

Female

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. Beth Anne Mahar Former 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 and National Provider Directory roles.

• Quirt, Mongrain, Gibree Professional Services, PC

  dba Marysville Periodontal and Implant Center

  • Periodontics
  • Marysville, WA
  • NPI 1215674163
  NPD (past)

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659387645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 GROVE ST",
            "address_2": "SUITE A",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982704492",
            "telephone_number": "360-659-6732",
            "fax_number": "360-653-6835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 GROVE ST",
            "address_2": "SUITE A",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982704492",
            "telephone_number": "360-659-6732",
            "fax_number": "360-653-6835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLD",
        "first_name": "BETH",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "WA",
            "license": "DE00006767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETH",
            "last_name": "MAHAR",
            "middle_name": "ANNE",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kristina Marie Gillum, REGISTERED COUNSELOR
• Michael Giovine, DMD
• Suzanne Marie Gisch, NP
• Margaret W Githunguri
• Carl Townsend Glissmeyer, PA-C
• Golden Opportunities and Local Support
• Pauline Vintapatr Golez
• Andrea Karina Gonzalez, MD
• Cody Good, OD
• Jennifer L Good, LMP

• Periodontics in Marysville, WA
• Providers in Marysville, WA by specialty
• Periodontics in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.