Individual provider Active NPI

Marvin Richard Gee, D.D.S., M.P.H.

  • Pediatric Anesthesiology Physician
  • Spangle, WA
National Provider Identifier
1881726362
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Anesthesiology PhysicianTaxonomy code 207LP3000X
License
GA10000254 Issued in WA
Practice address
19425 S Duncan Rd
Spangle, WA 99031-9754
Phone
(509) 245-3773
Fax
(509) 245-3774
NPI assigned
Mar 11, 2007
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health Dentistry 1223D0001X DE00006161 WA
General Practice Dentistry 1223G0001X DE00006161 WA
Pediatric Anesthesiology Physician 207LP3000X GA10000254 WA Primary

Addresses

Primary practice location

19425 S Duncan Rd
Spangle, WA 99031-9754

Mailing address

19425 S Duncan Rd
Spangle, WA 99031-9754

Other identifiers 3

IdentifierTypeStateIssuer
5029194MedicaidWA
DE00006161OtherWADENTAL LICENCE
GA10000254OtherWAGEN. ANESTHESIA PERMIT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DE00006161WAMDPublic Health Dentist
GA10000254WAMDPediatric Anesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marvin R. Gee, D.D.S., P.S. Pediatric Anesthesiology Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1173571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1881726362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19425 S DUNCAN RD",
            "city": "SPANGLE",
            "state": "WA",
            "postal_code": "990319754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19425 S DUNCAN RD",
            "city": "SPANGLE",
            "state": "WA",
            "postal_code": "990319754",
            "telephone_number": "509-245-3773",
            "fax_number": "509-245-3774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEE",
        "first_name": "MARVIN",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.P.H.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-11",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "WA",
            "license": "DE00006161",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00006161",
            "primary": false
        },
        {
            "code": "207LP3000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pediatric Anesthesiology",
            "state": "WA",
            "license": "GA10000254",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5029194",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENCE",
            "identifier": "DE00006161",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEN. ANESTHESIA PERMIT",
            "identifier": "GA10000254",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spangle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.