Individual provider Active NPI

Michael Gershanok, D.D.S.

  • Dentist
  • Scarsdale, NY
National Provider Identifier
1043472855
Registry record updated Jul 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
044721A Issued in NY
Practice address
281 Garth Rd
Suite B1J
Scarsdale, NY 10583-4052
Phone
(914) 472-4677
Fax
(914) 722-0312
NPI assigned
Jul 2, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 044721A NY Primary

Addresses

Primary practice location

281 Garth Rd
Suite B1J
Scarsdale, NY 10583-4052

Mailing address

281 Garth Rd
Suite B1J
Scarsdale, NY 10583-4052
Phone (914) 472-4677

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221130000861 NY Order and Referring Only - DentistPractitioner - Dentist 5294103925

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
044721ANYMDDentist
044721NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Garth Dental, P.C. Dentist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214956800000",
    "number": "1043472855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "281 GARTH RD",
            "address_2": "SUITE B1J",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105834052",
            "telephone_number": "914-472-4677",
            "fax_number": "914-722-0312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 GARTH RD",
            "address_2": "SUITE B1J",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105834052",
            "telephone_number": "914-472-4677",
            "fax_number": "914-722-0312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERSHANOK",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-02",
        "last_updated": "2008-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "044721A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarsdale, NY

Sources for this page

Verify at the official NPI Registry.