Michael L. Gage, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

4344 Issued in WA

Legal business name

MICHAEL L. GAGE, D.D.S.

Practice address

2520 N Alder St
Tacoma, WA 98406-6632

Phone

(253) 759-5414

Fax

(253) 756-6860

NPI assigned

Nov 6, 2008

Organization subpart

No

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

Authorized official

Name

Michael L Gage, D.D.S.

Title

Owener

Phone

(253) 759-5414

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1225929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225929600000",
    "number": "1669626495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 N ALDER ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984066632",
            "telephone_number": "253-759-5414",
            "fax_number": "253-756-6860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 N ALDER ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984066632",
            "telephone_number": "253-759-5414",
            "fax_number": "253-756-6860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL L. GAGE, D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-06",
        "last_updated": "2008-11-06",
        "status": "A",
        "authorized_official_last_name": "GAGE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWENER",
        "authorized_official_telephone_number": "253-759-5414",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "4344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE I",
            "identifier": "1912907064",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.