Joseph Gondoly, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901017191 Issued in MI

Practice address

44356 Cherry Hill Rd
Canton, MI 48187-3274

Phone

(734) 981-5050

Fax

(734) 981-5021

NPI assigned

Nov 7, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Joseph Gondoly DDS PC

  • Dental Clinic/Center
  • Canton, MI
  • NPI 1609439728
  NPD (past) Authorized official

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475712000000",
    "number": "1164591988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44356 CHERRY HILL RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481873274",
            "telephone_number": "734-981-5050",
            "fax_number": "734-981-5021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44356 CHERRY HILL RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481873274",
            "telephone_number": "734-981-5050",
            "fax_number": "734-981-5021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONDOLY",
        "first_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2016-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901017191",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "2901017191",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lily Go, MD
• Linda G Goble
• Sheryl Joanne Gold, RN
• Dawn Nichol Goldberg
• Kayla Goleniak
• Good Faith Home Healthcare Services, LLC
• Good Faith Medical Transportation Services, LLC
• Goodhands LLC
• Gospel Medical Transportation & Logistics LLC
• Debra Jeanne Gossett, CPRCM

• General Practice Dentistry in Canton, MI
• Providers in Canton, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.