Organization Active NPI

John Andrew Van Gemert DDS PS

  • Dentist
  • Spokane, WA
National Provider Identifier
1770037285
Registry record updated Aug 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE00010132 Issued in WA
Legal business name
JOHN ANDREW VAN GEMERT DDS PS
Practice address
1118 S Perry St
Spokane, WA 99202-3525
Phone
(509) 534-2232
Fax
(509) 532-8636
NPI assigned
Aug 12, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2016

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

Authorized official

Name
Dr. John Andrew Van Gemert, DDSNPI 1669486171
Title
Owner
Phone
(509) 534-2232

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DE00010132 WA Primary

Addresses

Primary practice location

1118 S Perry St
Spokane, WA 99202-3525

Mailing address

1118 S Perry St
Spokane, WA 99202-3525
Phone (509) 534-2232

National Provider Directory

National Provider Directory

Locations

1118 S Perry St
Spokane, WA 99202
Phone (509) 534-2232

Practitioners & affiliated clinicians

Practitioners 2

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": "1470960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470960000000",
    "number": "1770037285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1118 S PERRY ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992023525",
            "telephone_number": "509-534-2232",
            "fax_number": "509-532-8636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 S PERRY ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992023525",
            "telephone_number": "509-534-2232",
            "fax_number": "509-532-8636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN ANDREW VAN GEMERT DDS PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-12",
        "last_updated": "2016-08-12",
        "status": "A",
        "authorized_official_last_name": "VAN GEMERT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-534-2232",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00010132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

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

Verify at the official NPI Registry.