Individual provider Active NPI

David Alexander Gage, D.M.D

  • General Practice Dentistry
  • Bellingham, WA
National Provider Identifier
1952719957
Registry record updated Jul 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE 60472401 Issued in WA
Practice address
3136 Squalicum Pkwy Ste a
Bellingham, WA 98225-1955
Phone
(360) 671-5800
Fax
(360) 671-5802
NPI assigned
Jul 23, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DE 60472401 WA Primary

Addresses

Primary practice location

3136 Squalicum Pkwy Ste a
Bellingham, WA 98225-1955

Mailing address

3136 Squalicum Pkwy Ste a
Bellingham, WA 98225-1955
Phone (360) 671-5800

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
I20161118002239 WA Order and Referring Only - DentistPractitioner - Dentist 5092094813

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DE 60472401WAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Scott L Clough, DDS, PS, Inc General Practice 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1406073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406073600000",
    "number": "1952719957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3136 SQUALICUM PKWY STE A",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251955",
            "telephone_number": "360-671-5800",
            "fax_number": "360-671-5802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3136 SQUALICUM PKWY STE A",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251955",
            "telephone_number": "360-671-5800",
            "fax_number": "360-671-5802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAGE",
        "first_name": "DAVID",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-23",
        "last_updated": "2014-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE 60472401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

Verify at the official NPI Registry.