Organization Active NPI

Dr. Willis Gabel PLLC

  • Dental Clinic/Center
  • Issaquah, WA
National Provider Identifier
1740633734
Registry record updated Jul 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DE00006359 Issued in WA
Legal business name
DR. WILLIS GABEL PLLC
Practice address
22516 SE 64TH PL Ste 200
Issaquah, WA 98027-5503
Phone
(425) 427-1120
Fax
(425) 427-1125
NPI assigned
Jul 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2016

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

Authorized official

Name
Dr. Willis P Gabel
Title
Owner
Phone
(425) 427-1120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DE00006359 WA Primary

Addresses

Primary practice location

22516 SE 64TH PL Ste 200
Issaquah, WA 98027-5503

Mailing address

22516 SE 64TH PL Ste 200
Issaquah, WA 98027-5503
Phone (425) 427-1120

Other names 1

  • Issaquah Endodontics Doing business as

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.

NPI Registry JSON

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

{
    "created_epoch": "1468454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468454400000",
    "number": "1740633734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22516 SE 64TH PL STE 200",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980275503",
            "telephone_number": "425-427-1120",
            "fax_number": "425-427-1125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22516 SE 64TH PL STE 200",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980275503",
            "telephone_number": "425-427-1120",
            "fax_number": "425-427-1125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. WILLIS GABEL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-14",
        "last_updated": "2016-07-14",
        "status": "A",
        "authorized_official_last_name": "GABEL",
        "authorized_official_first_name": "WILLIS",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-427-1120",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "DE00006359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Issaquah Endodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Issaquah, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.

Verify at the official NPI Registry.