Organization Active NPI

Robert Mongrain, Quirt, Gibree, P.C.

Doing business as Cascade Dental Care

  • General Practice Dentistry
  • Longview, WA
National Provider Identifier
1922713817
Registry record updated Jan 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ROBERT MONGRAIN, QUIRT, GIBREE, P.C.
Doing business as
Cascade Dental Care
Practice address
1105 14TH Ave
Longview, WA 98632-3016
Phone
(360) 916-4200
NPI assigned
Jan 16, 2023
Organization subpart
Yes
Parent organization
ROBERT MONGRAIN, QUIRT, GIBREE, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 16, 2023

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

Authorized official

Name
Cemyira McDougal
Title
Credentialing Coordinator
Phone
(217) 764-8609

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1105 14TH Ave
Longview, WA 98632-3016

Mailing address

1105 14TH Ave
Longview, WA 98632-3016

Other names 1

  • Cascade Dental Care Doing business as

National Provider Directory

National Provider Directory
Part of
Robert Mongrain Quirt Gibree PC

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1673827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673827200000",
    "number": "1922713817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 14TH AVE",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986323016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 14TH AVE",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986323016",
            "telephone_number": "360-916-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT MONGRAIN, QUIRT, GIBREE, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ROBERT MONGRAIN, QUIRT, GIBREE, P.C.",
        "enumeration_date": "2023-01-16",
        "last_updated": "2023-01-16",
        "certification_date": "2023-01-16",
        "status": "A",
        "authorized_official_last_name": "MCDOUGAL",
        "authorized_official_first_name": "CEMYIRA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "217-764-8609"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cascade Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Longview, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.