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JONATHAN W. GANTZ D.D.S.
NPI 1386872141
Dentist - General Practice in Walla Walla, WA

Active since June 30, 2009PECOS Enrolled
1608 PENNY LN, WALLA WALLA, WA 99362(509) 525-9111(509) 593-5155 Get Directions Write a Review

NPPES record last updated: May 18, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jonathan W. Gantz D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JONATHAN W. GANTZ D.D.S. (NPI 1386872141) is an individual general practice provider in Walla Walla, Washington, licensed in Washington (DE60093430) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386872141
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameJONATHAN W. GANTZCredential: D.D.S.
Location Address1608 PENNY LNWalla Walla, WA 99362-4477
Mailing Address1608 Penny LnWalla Walla, WA 99362-4477 · (509) 525-9111 · Fax (509) 593-5155
Phone(509) 525-9111
Fax(509) 593-5155
Sole ProprietorNo
Enumeration DateJune 30, 2009
Last NPPES UpdateMay 18, 2026
NPPES CertifiedMay 18, 2026
✔ NPI 1386872141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in WA · DE60093430
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1608 PENNY LN, Walla Walla, WA 99362
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Other Identifiers 1

Medicaid2134988WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jonathan W. Gantz D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99362 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JONATHAN W. GANTZ, DDS PLLC
Clinic/Center (Dental)
1608 PENNY LN
WALLA WALLA, WA 99362
Walla Walla County (509) 525-9111
WALLA WALLA ORTHODONTICS
Dentist (Orthodontics and Dentofacial Orthopedics)
1608 PENNY LN
WALLA WALLA, WA 99362
Walla Walla County (509) 525-7030
THOMAS W. UTT, PLLC
Dentist (Orthodontics and Dentofacial Orthopedics)
1608 PENNY LN
WALLA WALLA, WA 99362
Walla Walla County (509) 525-7030
DR. ALEX AMMA RAUCHLE DDS
Dentist (Orthodontics and Dentofacial Orthopedics)
1608 PENNY LN
WALLA WALLA, WA 99362
Walla Walla County (415) 419-4481
AARON B. CHRISTOPHER DMD, MSD
Dentist (Orthodontics and Dentofacial Orthopedics)
1608 PENNY LN
WALLA WALLA, WA 99362
Walla Walla County (509) 540-8456
THOMAS W. UTT DDS
Dentist (Orthodontics and Dentofacial Orthopedics)
1608 PENNY LN
WALLA WALLA, WA 99362
Walla Walla County (509) 525-7030
TIAH CHRISTINE ESKILDSEN
Dental Assistant
1608 PENNY LN
WALLA WALLA, WA 99362
Walla Walla County (509) 525-7030

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jonathan Gantz's NPI number?

The NPI number for Jonathan Gantz is 1386872141. It was assigned to this individual provider in the NPPES registry on June 30, 2009.

Where is Jonathan Gantz located?

Jonathan Gantz practices at 1608 Penny Ln, Walla Walla, WA 99362. The listed phone number is (509) 525-9111.

What is Jonathan Gantz's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Jonathan Gantz enrolled in Medicare?

Yes. Jonathan Gantz is registered in the Medicare PECOS enrollment system.

What insurance does Jonathan Gantz accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 8 other insurers list Jonathan Gantz as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jonathan Gantz was last updated on May 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.