Richard James Gadd, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DE00005252 Issued in WA

Practice address

711 Harrison Ave
Centralia, WA 98531-2109

Phone

(360) 736-5405

Fax

(360) 736-5620

NPI assigned

Mar 27, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1238112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238112000000",
    "number": "1780826479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 WASHINGTON WAY",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985319325",
            "telephone_number": "360-736-5405",
            "fax_number": "360-736-5620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 HARRISON AVE",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985312109",
            "telephone_number": "360-736-5405",
            "fax_number": "360-736-5620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GADD",
        "first_name": "RICHARD",
        "middle_name": "JAMES",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-27",
        "last_updated": "2009-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00005252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5050489",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Freeberg
• Chad Fujiyoshi, PT
• Rachael Celia Fulginiti
• Leslie Ann Fulp, LICSWA
• Sharon C Furrer, MS, RD, CD,CDE
• Kayla Gairns, BA, R-AAC
• Erin L Galarza, DPT
• Maggie Lynn Gallanger
• Alicia Rose Garcia
• Daniel Garcia

• Dentist in Centralia, WA
• Providers in Centralia, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2009; 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.