Active NPI
Frank Gontarski, D.D.S.
- Dentist
- Fair Oaks, CA
National Provider Identifier
1073924643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- #CA30217
- Practice address
- 4363 Hazel Avenue
Suite 6
Fair Oaks, CA 95628 - Phone
- (916) 962-3500
- NPI assigned
- May 16, 2014
- Last updated
- May 16, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | #CA30217 | CA | Primary |
Addresses
Primary practice location
4363 Hazel Avenue
Suite 6
Fair Oaks, CA 95628
Mailing address
4363 Hazel Ave
Suite 6
Fair Oaks, CA 95628-6600
Phone (916) 962-3500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| #CA30217 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frank Gontarski DDS | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400198400000",
"number": "1073924643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4363 HAZEL AVE",
"address_2": "SUITE 6",
"city": "FAIR OAKS",
"state": "CA",
"postal_code": "956286600",
"telephone_number": "916-962-3500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4363 HAZEL AVENUE",
"address_2": "SUITE 6",
"city": "FAIR OAKS",
"state": "CA",
"postal_code": "95628",
"telephone_number": "916-962-3500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONTARSKI",
"first_name": "FRANK",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-05-16",
"last_updated": "2014-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "#CA30217",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fair Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.