Kevin L Gasser, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

BG0195366 Issued in PA

Practice address

17220 N Boswell Blvd
Suite 200
Sun City, AZ 85373-2000

Phone

(623) 972-8217

Fax

(623) 972-1406

NPI assigned

Jan 9, 2013

Reactivated

Oct 31, 2013

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Gasser Dental

  • Dental Clinic/Center
  • Sun City, AZ
  • NPI 1851510853
  NPD (past) Authorized official

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

{
    "created_epoch": "1357689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417564800000",
    "number": "1164769253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17220 N BOSWELL BLVD",
            "address_2": "SUITE 200",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853732000",
            "telephone_number": "623-972-8217",
            "fax_number": "623-972-1406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17220 N BOSWELL BLVD",
            "address_2": "SUITE 200",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853732000",
            "telephone_number": "623-972-8217",
            "fax_number": "623-972-1406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASSER",
        "first_name": "KEVIN",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-09",
        "last_updated": "2014-12-03",
        "deactivation_date": "2013-07-01",
        "reactivation_date": "2013-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "BG0195366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donica Gaines, BSN, RN
• Sue Garber, NP
• Louisse Ma Soccoro Garcia, FNP
• Michael Anthony Garcia, MD
• Gasser Dental
• Nathaniel Gawelko
• Sirisha Gayam, M.D
• Austen Gentner
• Aubrie Joann Gerard, OTR/L
• Mesong Ann Gerardi, PTA

• General Practice Dentistry in Sun City, AZ
• Providers in Sun City, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.

Verify at the official NPI Registry.