Jade W. Gan, DDS, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JADE W. GAN, DDS, PLLC

Doing business as

Genuine Smiles

Practice address

12902 Bothell Everett Hwy Ste E
Everett, WA 98208-6635

Phone

(425) 367-0303

Fax

(425) 367-0313

NPI assigned

Sep 24, 2020

Organization subpart

No

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

Authorized official

Name

Jade Gan, DDSNPI 1982048096

Title

Dentist

Phone

(425) 802-7883

Specialties & licenses 1

Addresses

Other names 1

• Genuine Smiles Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jade Wan-Theng Gan, DDS

  • Dentist
  • Edmonds, WA
  • NPI 1982048096
  NPD Authorized official

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

{
    "created_epoch": "1600905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600905600000",
    "number": "1821605940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12902 BOTHELL EVERETT HWY STE E",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982086635",
            "telephone_number": "425-367-0303",
            "fax_number": "425-367-0313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12902 BOTHELL EVERETT HWY STE E",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982086635",
            "telephone_number": "425-367-0303",
            "fax_number": "425-367-0313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JADE W. GAN, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-24",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A",
        "authorized_official_last_name": "GAN",
        "authorized_official_first_name": "JADE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "425-802-7883",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Genuine Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Judith Ann Jacobsen, MD
• Adalynn Jean Jacobson
• Jill K Jacobson, PHD
• Robert Jacobson, MD
• Ronald Jay Jacobson, RN
• Zahida Jaffer
• Sana Abbas Jaffri, M.D.
• Venus Jagne, BSN, RN
• Haddy Jah
• Ousainou Jaiteh, MHT III

• General Practice Dentistry in Everett, WA
• Providers in Everett, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; 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.