Jessica Gabhart, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10433 Issued in KY

Practice address

535 Westport Rd
Elizabethtown, KY 42701-2949

Phone

(270) 982-3624

NPI assigned

May 22, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Gabhart Family Dentistry PLLC

  • Dental Clinic/Center
  • Elizabethtown, KY
  • NPI 1790554152
  NPD

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

{
    "created_epoch": "1590105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590105600000",
    "number": "1154944270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 WESTPORT RD",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012949",
            "telephone_number": "270-982-3624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 WESTPORT RD",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012949",
            "telephone_number": "270-982-3624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABHART",
        "first_name": "JESSICA",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-22",
        "last_updated": "2020-05-22",
        "certification_date": "2020-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "10433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Thomas Fulkerson, D.C.
• Patricia Lynn Furman
• Gabhart Family Dentistry PLLC
• Crystal Gabhart, OT
• James W Gabhart II, DMD
• April Ra'Chel Gaddie
• Laine Gaddie
• Monica Gahagan, C.O.T.A.
• Dontavius Gaines, APSS
• Lisa Christine Gaines, DNP, APRN

• General Practice Dentistry in Elizabethtown, KY
• Providers in Elizabethtown, KY by specialty
• General Practice Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2020; 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.