Active NPI
Michael Gerhart, DDS
- General Practice Dentistry
- Mason, OH
National Provider Identifier
1043740087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 30.025283
- Practice address
- 4834 Socialville Foster Rd Ste 30C
Mason, OH 45040-6827 - Phone
- (513) 459-1377
- NPI assigned
- Jun 13, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 10532 | TN | |
| General Practice Dentistry | 1223G0001X | 30.025283 | OH | Primary |
Addresses
Primary practice location
4834 Socialville Foster Rd Ste 30C
Mason, OH 45040-6827
Mailing address
289 Sycamore LN Apt 171
South Lebanon, OH 45065-1514
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30.025283 | OH | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Healthcare Connection, Inc | Current | Accepting new patients | |
| The Healthcare Connection, Inc | Current | Accepting new patients | |
| The Healthcare Connection, Inc. | Current | Accepting new patients | |
| The Healthcare Connection, Inc. | Current | Accepting new patients | |
| Mason Elite Dentistry | Past | Accepting new patients | |
| Northwest Michigan Health Services, Inc. | Past | Accepting new patients |
Locations
1401 Steffen Ave
Cincinnati, OH 45215
Phone (513) 483-3092
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 6
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.
-
- Federally Qualified Health Center (FQHC)
- Cincinnati, OH
- NPI 1053337675
-
- Federally Qualified Health Center (FQHC)
- Cincinnati, OH
- NPI 1154347789
-
- Federally Qualified Health Center (FQHC)
- Cincinnati, OH
- NPI 1578244687
-
- Federally Qualified Health Center (FQHC)
- Cincinnati, OH
- NPI 1790439156
-
- Dental Clinic/Center
- Mason, OH
- NPI 1437825510
-
- Federally Qualified Health Center (FQHC)
- Manistee, MI
- NPI 1326589961
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522713600000",
"number": "1043740087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "289 SYCAMORE LN APT 171",
"city": "SOUTH LEBANON",
"state": "OH",
"postal_code": "450651514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4834 SOCIALVILLE FOSTER RD STE 30C",
"city": "MASON",
"state": "OH",
"postal_code": "450406827",
"telephone_number": "513-459-1377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERHART",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-13",
"last_updated": "2018-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TN",
"license": "10532",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OH",
"license": "30.025283",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mason, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.