NPIMap

Organization Active NPI

Michael L. Gage, D.D.S.

  • Dentist
  • Tacoma, WA
National Provider Identifier
1669626495
Registry record updated Nov 6, 2008
On this page

Key facts

NPPES NPI Registry
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
Last updated
Nov 6, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2008

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.NPI 1912907064
Title
Owener
Phone
(253) 759-5414

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 4344 WA Primary

Addresses

Primary practice location

2520 N Alder St
Tacoma, WA 98406-6632

Mailing address

2520 N Alder St
Tacoma, WA 98406-6632
Phone (253) 759-5414

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, 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": "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • 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.