Active NPI
Mark Joseph Van Gemert, DDS
- Dentist
- Spokane, WA
National Provider Identifier
1699190025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DE 60616536
- Practice address
- 2001 E 29TH Ave
Spokane, WA 99203-3957 - Phone
- (509) 534-4600
- Fax
- (509) 533-6334
- NPI assigned
- Feb 21, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 29672 | TX | |
| Dentist | 122300000X | DE 60616536 | WA | Primary |
Addresses
Primary practice location
2001 E 29TH Ave
Spokane, WA 99203-3957
Mailing address
2001 E 29TH Ave
Spokane, WA 99203-3957
Phone (509) 534-4600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29672 | TX | MD | Dentist |
| DE 60616536 | WA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cloninger & Carr PS | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dental Clinic/Center
- Spokane, WA
- NPI 1760320196
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465689600000",
"number": "1699190025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 E 29TH AVE",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992033957",
"telephone_number": "509-534-4600",
"fax_number": "509-533-6334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 E 29TH AVE",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992033957",
"telephone_number": "509-534-4600",
"fax_number": "509-533-6334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN GEMERT",
"first_name": "MARK",
"middle_name": "JOSEPH",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-02-21",
"last_updated": "2016-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "29672",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "DE 60616536",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spokane, WA
- Megan Elaine Van Fleet, PHARMD
- Jason Michael Van Gelder, PMHNP-BC
- Michael Jacobus Van Gelder, M.S., M.N., PMHNP
- John Andrew Van Gemert, DDS PS
- Lauren Nicole Van Gemert, D.D.S.
- Royce F Van Gerpen, MD MPH
- Jennifer Lynn Van Harpen, BSN
- Carla Lauren Van Heerden
- Megan Elizabeth Van Hilten
- Kristy R. Van Hook, ARNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.