Rebekka Gerson, DMD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DSO36333 Issued in PA

Practice address

3048 Butler Pike
Conshohocken, PA 19428-2107

Phone

(610) 825-2327

NPI assigned

Jan 24, 2012

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Butler Pike Family Dentistry

  • Dental Clinic/Center
  • Conshohocken, PA
  • NPI 1467088500
  NPD (past)

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

{
    "created_epoch": "1327363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327363200000",
    "number": "1023389905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1618 GERSON DR",
            "city": "PENN VALLEY",
            "state": "PA",
            "postal_code": "190721232",
            "telephone_number": "215-779-7847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3048 BUTLER PIKE",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "194282107",
            "telephone_number": "610-825-2327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERSON",
        "first_name": "REBEKKA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-24",
        "last_updated": "2012-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "PA",
            "license": "DSO36333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Gaul, MSOT
• Indira Rose Geist, PHARMD
• Genuardi'S Family Markets LP (GFM)
• Emily George, OTR/L
• Corinne Rose Gercken, PA-C
• Jenna R Giagnacova, MS, LPC
• Lia Giampietro, MS CCC-SLP
• Barry Gilles
• Victoria Giusini, BCBA
• Tanya Glenn-Butler

• Periodontics in Conshohocken, PA
• Providers in Conshohocken, PA by specialty
• Periodontics in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.