Individual provider Active NPI

Lindsey Rae Gardner, D.M.D

  • Dentist
  • Everett, WA
National Provider Identifier
1891104584
Registry record updated Dec 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE60755446 Issued in WA
Practice address
1920 100TH St SE Ste C2
Everett, WA 98208-3832
Phone
(425) 249-0770
Fax
(425) 249-0771
NPI assigned
Aug 6, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30376 TX
General Practice Dentistry 1223G0001X DN 20660 FL
Dentist 122300000X DE60755446 WA Primary

Addresses

Primary practice location

1920 100TH St SE Ste C2
Everett, WA 98208-3832

Mailing address

PO Box 34703
Seattle, WA 98124-1703
Phone (067) 640-5022

Other practice location 1

7599 Garth Rd
Suite 800
Baytown, TX 77521-7721
Phone (281) 421-3000

Other practice location 2

26401 Pacific Hwy S Ste 201
Des Moines, WA 98198-9247
Phone (206) 870-3600

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lgardner20250@healthpoint.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231003003703 WA Practitioner - Dentist 9436503877 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN 20660FLMDGeneral Practice Dentistry
30376TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Sea Mar Community Health Centers Dentist CurrentSince Feb 2, 2025 Accepting new patients
Healthpoint Current Accepting new patients
Healthpoint CurrentSince Oct 2, 2023 Accepting new patients
Healthpoint CurrentSince Oct 2, 2023 Accepting new patients
Healthpoint Past Accepting new patients

Locations

126 Auburn Ave
Ste 300
Auburn, WA 98002
Phone (253) 735-0166

10414 Beardslee Blvd
Ste 100
Bothell, WA 98011
Phone (425) 486-0658

1920 100th St SE
Ste C2
Everett, WA 98208
Phone (425) 249-0770

33431 13th Pl S
Federal Way, WA 98003
Phone (253) 874-7634

403 E Meeker St
Ste 200
Kent, WA 98030
Phone (253) 852-2866

16255 NE 87th St
Ste 150
Redmond, WA 98052
Phone (425) 882-1697

200 S 2nd St
Renton, WA 98057
Phone (425) 226-5536

955 Powell Ave SW
Renton, WA 98057
Phone (253) 735-0166

Interoperability endpoints

  • Direct secure messaging: lgardner20250@healthpoint.direct-ci.com
  • Direct secure messaging: lindsay.gardnerdds.p3@direct.hpc.nextgenshare.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1407283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735257600000",
    "number": "1891104584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34703",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981241703",
            "telephone_number": "067-640-5022",
            "fax_number": "206-764-0516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 100TH ST SE STE C2",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982083832",
            "telephone_number": "425-249-0770",
            "fax_number": "425-249-0771"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7599 Garth Rd",
            "address_2": "Suite 800",
            "address_purpose": "LOCATION",
            "city": "Baytown",
            "state": "TX",
            "postal_code": "775217721",
            "country_code": "US",
            "telephone_number": "281-421-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26401 Pacific Hwy S Ste 201",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "WA",
            "postal_code": "981989247",
            "country_code": "US",
            "telephone_number": "206-870-3600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "LINDSEY",
        "middle_name": "RAE",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-06",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "30376",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 20660",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60755446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lgardner20250@healthpoint.direct-ci.com",
            "affiliation": "N",
            "address_1": "26401 Pacific Hwy S Ste 201",
            "city": "Des Moines",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981989247",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

Verify at the official NPI Registry.