Individual provider Active NPI

Zachary John Cargill, D.M.D.

  • General Practice Dentistry
  • Bellingham, WA
National Provider Identifier
1982974853
Registry record updated May 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE 60256076 Issued in WA
Practice address
4869 Hannegan Rd
Bellingham, WA 98226-7703
Phone
(360) 734-2429
Fax
(360) 734-2436
NPI assigned
Jan 9, 2012
Last updated
May 1, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2013

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 60256076 WA Primary

Addresses

Primary practice location

4869 Hannegan Rd
Bellingham, WA 98226-7703

Mailing address

4869 Hannegan Rd
Bellingham, WA 98226-7703
Phone (360) 734-2429

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
I20150630003006 WA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 8224340427

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DE 60256076WAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Zachary J Cargill DMD PS 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1326067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367366400000",
    "number": "1982974853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4869 HANNEGAN RD",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982267703",
            "telephone_number": "360-734-2429",
            "fax_number": "360-734-2436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4869 HANNEGAN RD",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982267703",
            "telephone_number": "360-734-2429",
            "fax_number": "360-734-2436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARGILL",
        "first_name": "ZACHARY",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-09",
        "last_updated": "2013-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE 60256076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

Verify at the official NPI Registry.