GREGORY B MORTENSEN DDS (NPI# 1316491244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316491244 |
| Entity Type | Organization |
| Organization Name | GREGORY B MORTENSEN DDS |
| Practice Address |
14645 Bel Red Rd Ste 100 Bellevue WA 98007-3929 |
| Practice Telephone | 4256442205 |
| Mailing Telephone | 4256442205 |
| Enumeration Date | 2016-08-09 |
| Last Update Date | 2016-08-09 |
| Authorized Official Name | DR. GREGORY MORTENSEN (DENTIST) |
| Authorized Official Telephone | 4256442205 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | 4778 | WA | Managed Care Organizations |
| Street Address |
14645 BEL RED RD STE 100 |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98007-3929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982204947 | Janet Delgado | Interpreter | 3000 Landerholm Cir Se, Bellevue, WA 98007 | 2020-10-29 |
| 1467092643 | Stephanie Schaal | Counselor | 15395 Se 30th Place Ste 120, Bellevue, WA 98007 | 2020-01-15 |
| 1740824358 | Alison Elizabeth Campbell | Massage Therapist | 14575 Ne Bel Red Rd Ste 100, Bellevue, WA 98007 | 2019-11-06 |
| 1275188021 | Pacific Coast Health Care, Pllc | Internal Medicine | Mission Healthcare At Bellevue, 2424 156th Avenue Ne, Bellevue, WA 98007 | 2019-08-08 |
| 1417475054 | Terasak Roeksbutr | Dietitian, Registered | 109 146th Ave Se, Bellevue, WA 98007 | 2017-09-04 |
| 1083130934 | Po-lung Wu | Acupuncturist | 693 156th Ave Se, Bellevue, WA 98007 | 2017-08-22 |
| 1689117319 | Audrey K. Tatt D.d.s. P.l.l.c. | Dentist | 15419 Ne 20th St. #206, Bellevue, WA 98007 | 2016-11-29 |
| 1952751836 | Mona Ebrahimi | Student in an Organized Health Care Education/Training Program | 14270 Ne 21st, Rainbow Creek, Bellevue, WA 98007 | 2016-06-21 |
| 1578939302 | Walgreen | Student in an Organized Health Care Education/Training Program | 15220 156th Ne, Bellevue, WA 98007 | 2015-08-17 |
| 1750767406 | Anar Veliyev | Physical Therapist | 14828 Ne 12th St, Bellevue, WA 98007 | 2015-08-05 |
| Find all providers in zip 98007 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639331135 | Progressive Dentistry, Inc. | Point of Service | 12816 Se 38th St Ste I, Bellevue, WA 98006-1327 | 2008-06-26 |
| 1629241112 | Overlake Family Vision, Pllc | Point of Service | 1135 116th Ave Ne Ste120, Bellevue, WA 98004-4626 | 2008-04-07 |
| 1457796112 | Tensegrity | Point of Service | 555 108th Ave Ne Ste 1, Bellevue, WA 98004-5578 | 2013-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770181232 | Tonn Physio Pllc | Point of Service | 307 S 1st St Ste B103, Mount Vernon, WA 98273-3856 | 2020-10-15 |
| 1871052696 | Pharmacare Services LLC | Point of Service | 17657 State Route 231 N, Edwall, WA 99008-9504 | 2019-03-19 |
| 1053861518 | Prestige Phlebotomy | Point of Service | 17630 30th Avenue Ct E, Tacoma, WA 98446-1113 | 2016-10-09 |
| 1205383205 | Janette Carroll, Dds, Pllc | Point of Service | 2210 Kulshan View Dr Ste 101, Mount Vernon, WA 98273-2779 | 2016-09-07 |
| 1336599513 | Kings Royal Care | Point of Service | 8141 Lopez Dr, Clinton, WA 98236-9236 | 2016-06-17 |
| 1568834703 | Internal Acceptance, Pllc | Point of Service | 60 Nw Boistfort St, Chehalis, WA 98532-2003 | 2015-10-28 |
| 1184002081 | Melinda Kay Morrison | Point of Service | 3310 Sw 327th Pl, Federal Way, WA 98023-2759 | 2015-05-12 |
| 1235517236 | Lora's Massage & Aromatherapy Services | Point of Service | 12211 Edgewood Ave Sw, Apt.# 12, Lakewood, WA 98498-1201 | 2015-05-11 |
| 1649657750 | Alicia Koch-johnson | Point of Service | 14826 42nd Ave S, Tukwila, WA 98168-4436 | 2015-04-28 |
| 1861885527 | K's Optical LLC | Point of Service | 23020 Edmonds Way Unit 114, Edmonds, WA 98020-5066 | 2015-03-05 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.