Gary Elden Heyamoto, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5433 Issued in WA

Practice address

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

Phone

(425) 485-8885

Fax

(425) 485-8341

NPI assigned

Jul 31, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gary Eldon Heyamoto

  • Dentist
  • Bothell, WA
  • NPI 1851726368
  NPD (past) Authorized official

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871509794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1729 208TH ST SE",
            "address_2": "#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",
            "address_2": "#101",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980127789",
            "telephone_number": "425-485-8885",
            "fax_number": "425-485-8341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEYAMOTO",
        "first_name": "GARY",
        "middle_name": "ELDEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "5433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ariel Unity Hernandez, MA ED.
• Rachel Cleona Hernandez, RD, LD
• John Arthur Herseth, DDS
• Martha Kelley Hesch, OTR/L
• Karin P Heusted, ARNP
• Jane E Hicks, LMP
• Parker Amelia Hicks
• David A Higginbotham, D.O.
• Alexander David Hill
• Jeffrey Hill, LMHC

• General Practice Dentistry in Bothell, WA
• Providers in Bothell, 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 Jul 8, 2007; 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.