Denise C Gates, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D10124 Issued in OR

Practice address

29990 SW Town Center Loop W
Suite a
Wilsonville, OR 97070-9425

Phone

(503) 682-2110

Fax

(503) 682-8951

NPI assigned

Aug 22, 2014

Last updated

Feb 14, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mack S Johnsen DMD PC

  • General Practice Dentistry
  • Wilsonville, OR
  • NPI 1346417748
  NPD (past)

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

{
    "created_epoch": "1408665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487030400000",
    "number": "1821497132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29990 SW TOWN CENTER LOOP W",
            "address_2": "SUITE A",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970709425",
            "telephone_number": "503-682-2110",
            "fax_number": "503-682-8951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29990 SW TOWN CENTER LOOP W",
            "address_2": "SUITE A",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970709425",
            "telephone_number": "503-682-2110",
            "fax_number": "503-682-8951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATES",
        "first_name": "DENISE",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-22",
        "last_updated": "2017-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D10124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yan Zhou Gardner, DDS
• Maria B Garibay
• Kimberley Anne Garrison, ARNP
• Alexandra Gasiorowski
• Elisa Michelle Gassman, MPT
• Paris Whitney Geiken, OT
• Daniel Gethi
• Kelcy Gillen
• Susan Gillum
• Jessica Helen Glasmann, MSW, LCSW

• General Practice Dentistry in Wilsonville, OR
• Providers in Wilsonville, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.