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Deactivated NPI 1497329551 Deactivated / Inactive NPI Male Practitioner

Dr. Edgar Roman Gomez , DDS

Dentist • Seattle, WA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Edgar Gomez has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 13, 2021
NPI Deactivation Date November 07, 2023
Total Practice Duration ~2 Years of Practice (2021 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Edgar Gomez, DDS was a registered Dentist practicing in Seattle, WA. Throughout an active medical career spanning 2 years, Dr. Gomez provided care at the practice location at 1959 NE PACIFIC ST until profile deactivation on 2023-11-07.

Practice Location & Contact Primary Location

Practice Address

1959 Ne Pacific St

Seattle, WA 981951450

Telephone 2065430903
Associated Practice Facility / Clinic
🏢 University Of Washington Facility NPI 1326002049

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Seattle, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.6 Yrs
State Avg: 16.1 Yrs
Regional Practice Density
436 Specialists

Practicing in Seattle, WA (2853 Statewide)

Telehealth Adoption Rate
0.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-07-29
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License WA DENT.DE.70131492

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License WA DENT.DE.70131492

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.

Secondary Practice Locations

8915 14th Ave S Fl 2

Seattle, WA 981084813

Phone: 2067623263

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Colleen Selness

Student in an Organized Health Care Education/Training Program

NPI 1003653213
Edward Chen

Student in an Organized Health Care Education/Training Program

NPI 1003654351
Jyotsna Kuramkote

Student in an Organized Health Care Education/Training Program

NPI 1003659939
Golsar Torabi

Student in an Organized Health Care Education/Training Program

NPI 1003661414
Giao Pham

Student in an Organized Health Care Education/Training Program

NPI 1013891019
Jimmy Ngo

Student in an Organized Health Care Education/Training Program

NPI 1023791092

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
👤
Provider Name / Credentials Updated July 29, 2026

Recorded as EDGAR GOMEZ, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 29, 2026

Dentist (License #DENT.DE.70131492 in WA)

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Updated Practice Location December 26, 2023

Registered at 1959 NE PACIFIC ST, SEATTLE, WA 981951450 (Tel: 2065430903)

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Updated Business Mailing Address December 26, 2023

Registered at 1959 NE PACIFIC ST, SEATTLE, WA 981956365 (Tel: 2065430903)

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Provider Name / Credentials Updated December 26, 2023

Recorded as EDGAR GOMEZ

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 26, 2023

Student in an Organized Health Care Education/Training Program

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NPI Profile Deactivated November 07, 2023

Record deactivated on November 07, 2023

NPI Profile Active May 13, 2021

NPI status registered as active in NPPES database

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Updated Practice Location May 13, 2021

Registered at 19005 SE 34TH ST, VANCOUVER, WA 986831450 (Tel: 3607266720)

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Updated Business Mailing Address May 13, 2021

Registered at PO BOX 34703, SEATTLE, WA 981241703 (Tel: 2067640502)

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Provider Name / Credentials Updated May 13, 2021

Recorded as EDGAR GOMEZ

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 13, 2021

Health Educator (License #WDL2B35GJ03B in WA)

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Initial NPI Registration & Enumeration May 13, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1497329551
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 13, 2021
Last Update: July 29, 2026
Deactivation Date: November 07, 2023
Sole Proprietor: No

Mailing Address

1959 Ne Pacific St

Seattle, WA 981956365

Phone: 2065430903

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.