Individual provider Active NPI

Alfred A Gonie

  • Vehicle Modifications Contractor
  • Bothell, WA
National Provider Identifier
1730544677
Registry record updated Dec 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vehicle Modifications ContractorTaxonomy code 171WV0202X
Practice address
18416 38TH Dr SE
Bothell, WA 98012-8823
Phone
(425) 877-8117
Fax
(425) 424-0088
NPI assigned
Dec 18, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vehicle Modifications Contractor 171WV0202X WA Primary

Addresses

Primary practice location

18416 38TH Dr SE
Bothell, WA 98012-8823

Mailing address

18416 38TH Dr SE
Bothell, WA 98012-8823
Phone (877) 224-4884

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Aag Services Company, LLC 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.

NPI Registry JSON

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

{
    "created_epoch": "1450396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450396800000",
    "number": "1730544677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18416 38TH DR SE",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980128823",
            "telephone_number": "877-224-4884",
            "fax_number": "425-424-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18416 38TH DR SE",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980128823",
            "telephone_number": "425-877-8117",
            "fax_number": "425-424-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONIE",
        "first_name": "ALFRED",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-12-18",
        "last_updated": "2015-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171WV0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Vehicle Modifications",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bothell, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2015; 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.