NPIMap

Organization Active NPI

Gary Eldon Heyamoto

  • Dentist
  • Bothell, WA
National Provider Identifier
1851726368
Registry record updated Sep 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5433 Issued in WA
Legal business name
GARY ELDON HEYAMOTO
Practice address
1729 208TH St SE Ste 101
Bothell, WA 98012-7789
Phone
(425) 485-8885
Fax
(425) 485-8341
NPI assigned
Sep 4, 2013
Last updated
Sep 4, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2013

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

Authorized official

Name
Dr. Gary Eldon Heyamoto, DDSNPI 1871509794
Title
Dentist/Owner
Phone
(425) 485-8885

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
Dentist 122300000X 5433 WA Primary

Addresses

Primary practice location

1729 208TH St SE Ste 101
Bothell, WA 98012-7789

Mailing address

1729 208TH St SE Ste 101
Bothell, WA 98012-7789
Phone (425) 485-8885

National Provider Directory

National Provider Directory

Locations

1729 208th St SE
Ste 101
Bothell, WA 98012
Phone (425) 485-8885

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1378252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378252800000",
    "number": "1851726368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1729 208TH ST SE STE 101",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980127789",
            "telephone_number": "425-485-8885",
            "fax_number": "425-485-8341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1729 208TH ST SE STE 101",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980127789",
            "telephone_number": "425-485-8885",
            "fax_number": "425-485-8341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY ELDON HEYAMOTO",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-04",
        "last_updated": "2013-09-04",
        "status": "A",
        "authorized_official_last_name": "HEYAMOTO",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "ELDON",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "425-485-8885",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "5433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bothell, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2013; 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.