Mark a Gerger DMD Inc

Primary specialty

DentistTaxonomy code 122300000X

License

55310 Issued in CA

Legal business name

MARK A GERGER DMD INC

Practice address

2235 W Rosecrans Ave
Gardena, CA 90249-2905

Phone

(310) 771-0990

NPI assigned

May 14, 2013

Organization subpart

No

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

Authorized official

Name

Mark Gerger, D.M.D.NPI 1104028505

Title

President

Phone

(310) 771-0990

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Anthony Gerger, DMD

  • Dentist
  • Gardena, CA
  • NPI 1104028505
  NPD (past) Authorized official

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

{
    "created_epoch": "1368489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368489600000",
    "number": "1124464417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2235 W ROSECRANS AVE",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902492905",
            "telephone_number": "310-771-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2235 W ROSECRANS AVE",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902492905",
            "telephone_number": "310-771-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK A GERGER DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-14",
        "last_updated": "2013-05-14",
        "status": "A",
        "authorized_official_last_name": "GERGER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-771-0990",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "55310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaqueline Angeles Marias
• Marie'S Private Quarters
• Johana Marin Cruz
• Natalie Marin
• Kiewanna Sha'Vette Maris
• Christopher Jabarie Markham
• Amaya Teresa Marks, NONE
• Daisy Marmolejo
• Nicholas Marmolejo
• Brisa Marquez Galvan

• Dentist in Gardena, CA
• Providers in Gardena, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.