Michael Lawrence Gage, DDS PS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4344 Issued in WA

Practice address

2520 N Alder St
Tacoma, WA 98406-6632

Phone

(253) 759-5414

Fax

(253) 756-6860

NPI assigned

Jul 29, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Michael L. Gage, D.D.S.

  • Dentist
  • Tacoma, WA
  • NPI 1669626495
  Authorized official Same address or phone

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225065600000",
    "number": "1912907064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 N ALDER ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984066632",
            "telephone_number": "253-759-5414",
            "fax_number": "253-756-6860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 N ALDER ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984066632",
            "telephone_number": "253-759-5414",
            "fax_number": "253-756-6860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAGE",
        "first_name": "MICHAEL",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "DDS PS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2008-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "4344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA INS.",
            "identifier": "561035",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5383609",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sylvia Gadberry
• Durga Sivacharan Gaddam
• Stephani Christine Gadsden
• Jasmine Gadzala
• Desiree Marie Gaffney, MA, LMHC
• Suzette Marie Gagnon-Bailey, ARNP
• Annette Marie Gagnon, ARNP
• Madeline Gahan
• Gregory Alan Gahm, PH.D.
• Theophille Gahongayire

• General Practice Dentistry in Tacoma, WA
• Providers in Tacoma, 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 Oct 27, 2008; 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.