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DR. GIDEON NUSSBAUM DDS
NPI 1821206061
Dentist - General Practice in Renton, WA

Active since May 20, 2007PECOS Enrolled
607 SW GRADY WAY STE 300, RENTON, WA 98055(425) 255-7633 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Dr. Gideon Nussbaum Dds NPPES

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

DR. GIDEON NUSSBAUM DDS (NPI 1821206061) is an individual general practice provider in Renton, Washington, licensed in Washington (6136) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821206061
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. GIDEON NUSSBAUMCredential: DDS
Location Address607 SW GRADY WAY STE 300Renton, WA 98055-2977
Mailing Address607 Sw Grady Way Ste 300Renton, WA 98055-2977 · (425) 255-7633
Phone(425) 255-7633
Sole ProprietorYes
Enumeration DateMay 20, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1821206061 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 · 6136
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.
607 SW GRADY WAY STE 300, Renton, WA 98055
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Gideon Nussbaum Dds 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 98055 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
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$78.74 typical visit price
range $21.12 – $155.00
Typical copayment $19.68 (range $5.28 – $38.75)
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.

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 Gideon Nussbaum's NPI number?

The NPI number for Gideon Nussbaum is 1821206061. It was assigned to this individual provider in the NPPES registry on May 20, 2007.

Where is Gideon Nussbaum located?

Gideon Nussbaum practices at 607 SW Grady Way Ste 300, Renton, WA 98055. The listed phone number is (425) 255-7633.

What is Gideon Nussbaum's specialty?

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

Is Gideon Nussbaum enrolled in Medicare?

Yes. Gideon Nussbaum is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gideon Nussbaum was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.