Active NPI
Gary Raymond Gisch, DDS
- General Practice Dentistry
- Sulphur Springs, TX
National Provider Identifier
1093728479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 14183
- Practice address
- 1427 S Broadway St
Sulphur Springs, TX 75482-4896 - Phone
- (903) 885-3031
- Fax
- (903) 885-7144
- NPI assigned
- Aug 15, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 14183 | TX | Primary |
Addresses
Primary practice location
1427 S Broadway St
Sulphur Springs, TX 75482-4896
Mailing address
1427 S Broadway St
Sulphur Springs, TX 75482-4896
Phone (903) 885-3031
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 76336 | Other | TX | UNITED CONCORDIA |
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 |
|---|---|---|---|
| 14183 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daniel Siriphongs DDS, PLLC | General Practice | 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.
-
- General Practice Dentistry
- Sulphur Springs, TX
- NPI 1699181909
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200441600000",
"number": "1093728479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1427 S BROADWAY ST",
"city": "SULPHUR SPRINGS",
"state": "TX",
"postal_code": "754824896",
"telephone_number": "903-885-3031",
"fax_number": "903-885-7144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1427 S BROADWAY ST",
"city": "SULPHUR SPRINGS",
"state": "TX",
"postal_code": "754824896",
"telephone_number": "903-885-3031",
"fax_number": "903-885-7144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GISCH",
"first_name": "GARY",
"middle_name": "RAYMOND",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-15",
"last_updated": "2008-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "14183",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "76336",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sulphur Springs, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.