Individual provider Active NPI

Michael Gerhart, DDS

  • General Practice Dentistry
  • Mason, OH
National Provider Identifier
1043740087
Registry record updated Apr 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30.025283 Issued in OH
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

Updated by the provider on Apr 3, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230308000924 OH Practitioner - Dentist 6305174111 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30.025283OHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
The Healthcare Connection, Inc Current Accepting new patients
The Healthcare Connection, Inc Current Accepting new patients
The Healthcare Connection, Inc. CurrentSince Feb 27, 2023 Accepting new patients
The Healthcare Connection, Inc. CurrentSince Feb 27, 2023 Accepting new patients
Mason Elite Dentistry PastSince Aug 28, 2021 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.