Organization Active NPI

Dkeidek, Fernyhough, Gile, Hagel, Nov & Quickstad PLLC

Doing business as Evident Alliance

  • Dentist
  • Bellevue, WA
National Provider Identifier
1871968669
Registry record updated Sep 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
DKEIDEK, FERNYHOUGH, GILE, HAGEL, NOV & QUICKSTAD PLLC
Doing business as
Evident Alliance
Practice address
14715 Bel Red Rd Ste 200
Bellevue, WA 98007-3940
Phone
(425) 747-9141
NPI assigned
Dec 6, 2015
Last updated
Sep 9, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2016

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

Authorized official

Name
Dr. Mike Gile, D.D.S., P.S.
Title
Chairman
Phone
(425) 747-9141

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X
PeriodonticsGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0300X

Addresses

Primary practice location

14715 Bel Red Rd Ste 200
Bellevue, WA 98007-3940

Mailing address

14715 Bel Red Rd Ste 200
Bellevue, WA 98007-3940
Phone (425) 747-9141

Other names 1

  • Evident Alliance Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dkeidek Fernyhough Gile Hagel Nov Quickstad PLLC24 organizations share this tax ID, including this one

Other organizations with this tax ID 23

Organizations that report the same tax identification number in the National Provider Directory.

View all 23

Locations

14715 NE Bel Red Rd
Ste 200
Bellevue, WA 98007
Phone (425) 417-6705

NPI Registry JSON

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

{
    "created_epoch": "1449360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473379200000",
    "number": "1871968669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14715 BEL RED RD STE 200",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980073940",
            "telephone_number": "425-747-9141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14715 BEL RED RD STE 200",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980073940",
            "telephone_number": "425-747-9141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DKEIDEK, FERNYHOUGH, GILE, HAGEL, NOV & QUICKSTAD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-06",
        "last_updated": "2016-09-09",
        "status": "A",
        "authorized_official_last_name": "GILE",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "425-747-9141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., P.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evident Alliance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2016; 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.