Andrew Benjamin Gilbreath, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

DE00011087 Issued in WA

Practice address

15515 3Rd Ave SW
Suite F
Burien, WA 98166-2553

Phone

(206) 243-5445

NPI assigned

Dec 6, 2007

Sex

Male

Sole proprietor

Yes

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

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.

Opted out of Medicare

Yes, effective Feb 21, 2017 through Feb 21, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Andrew B. Gilbreath, D.D.S., PLLC

  • Dental Clinic/Center
  • Burien, WA
  • NPI 1568883213
  NPD (past) Authorized official

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196899200000",
    "number": "1861675308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15515 3RD AVE SW",
            "address_2": "SUITE F",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981662553",
            "telephone_number": "206-243-5445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15515 3RD AVE SW",
            "address_2": "SUITE F",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981662553",
            "telephone_number": "206-243-5445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILBREATH",
        "first_name": "ANDREW",
        "middle_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-06",
        "last_updated": "2007-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00011087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PUBLIC HEALTH PROVIDER",
            "identifier": "6201",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Gibbard Kline, LICSW
• Maris Gibson
• Cathy Pham Giese, O.D.
• Katrina Marie Giese
• Dariel Gilbert
• Monya Gili-Steyn
• Angela Kristine Gilmore, LMP
• Global Perinatal Services
• Jared M Godwin, PA-C
• Manuj Goel, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.