NPIMap

Dkeidek, Fernyhough, Gile, Hagel, Nov & Quickstad PLLC

Organization Active NPI Periodontics · Olympia, WA

NPI 1962340653 · NPPES record last updated Mar 23, 2026

Key facts

NPI
1962340653
Entity type
Organization (NPI type 2)
Primary specialty
Periodontics 1223P0300X
Legal business name
DKEIDEK, FERNYHOUGH, GILE, HAGEL, NOV & QUICKSTAD PLLC
Practice address
304 W Bay Dr NW Ste 201
Olympia, WA 98502-4954
Phone
(360) 459-5900
NPI assigned
Mar 23, 2026
Organization subpart
No

Authorized official

Name
Jana Johnson
Title
RCM
Phone
(206) 430-2274

Corporate family (same tax ID) 23

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Dkeidek Fernyhough Gile Hagel Nov Quickstad PLLC (24 organizations share this tax ID)

Locations

304 West Bay Dr NW
Ste 201
Olympia, WA 98502
Phone (360) 459-5900

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics
Group: 193400000X SINGLE SPECIALTY GROUP		 1223P0300X Yes

Addresses

Primary practice location

304 W Bay Dr NW Ste 201
Olympia, WA 98502-4954

Mailing address

304 W Bay Dr NW Ste 201
Olympia, WA 98502-4954
Phone (360) 459-5900

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 23, 2026.

{
    "created_epoch": "1774224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774224000000",
    "number": "1962340653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 W BAY DR NW STE 201",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985024954",
            "telephone_number": "360-459-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 W BAY DR NW STE 201",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985024954",
            "telephone_number": "360-459-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DKEIDEK, FERNYHOUGH, GILE, HAGEL, NOV & QUICKSTAD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-23",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JANA",
        "authorized_official_title_or_position": "RCM",
        "authorized_official_telephone_number": "206-430-2274"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

All providers in Olympia, WA · Periodontics in Washington

Sources for this page

Verify at the official NPI Registry.