Active NPI
Donald Lee Gebhart, DDS
- General Practice Dentistry
- Tacoma, WA
National Provider Identifier
1972582880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DE00008876
- Practice address
- BLDG 9900, 2ND Floor
U.S. Army Dental Activity - Ft Lewis
Tacoma, WA 98431-0001 - Phone
- (253) 968-4039
- Fax
- (253) 968-5919
- NPI assigned
- Jan 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DE00008876 | WA | Primary |
| General Practice Dentistry | 1223G0001X | 12829 | TX |
Addresses
Primary practice location
BLDG 9900, 2ND Floor
U.S. Army Dental Activity - Ft Lewis
Tacoma, WA 98431-0001
Mailing address
BLDG 9900, 2ND Floor
U.S. Army Dental Activity - Ft Lewis
Tacoma, WA 98431-0001
Phone (253) 968-4039
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE00008876 | WA | MD | General Practice Dentistry |
| 12829 | TX | MD | Music Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430092800000",
"number": "1972582880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BLDG 9900, 2ND FLOOR",
"address_2": "U.S. ARMY DENTAL ACTIVITY - FT LEWIS",
"city": "TACOMA",
"state": "WA",
"postal_code": "984310001",
"telephone_number": "253-968-4039",
"fax_number": "253-968-5919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BLDG 9900, 2ND FLOOR",
"address_2": "U.S. ARMY DENTAL ACTIVITY - FT LEWIS",
"city": "TACOMA",
"state": "WA",
"postal_code": "984310001",
"telephone_number": "253-968-4039",
"fax_number": "253-968-5919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEBHART",
"first_name": "DONALD",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-10",
"last_updated": "2015-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WA",
"license": "DE00008876",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "12829",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.