Active NPI
Gerald Marc Josephson, D.M.D.
- Dentist
- Fort Myers, FL
National Provider Identifier
1184684615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN7364
- Practice address
- 13401 Summerlin Rd Ste 8
Fort Myers, FL 33919-6593 - Phone
- (239) 415-1880
- NPI assigned
- Mar 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS019130L | PA | |
| Dentist | 122300000X | DN7364 | FL | Primary |
Addresses
Primary practice location
13401 Summerlin Rd Ste 8
Fort Myers, FL 33919-6593
Mailing address
5850 Centre Ave
Suite 800C
Pittsburgh, PA 15206-3780
Phone (412) 361-7300
Other practice location 1
5850 Centre Ave
Suite 800c
Pittsburgh, PA 15206-3717
Phone (412) 361-7300
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN7364 | FL | MD | Dentist |
| DS019130L | PA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coast Dental P.a. | Dentist | Current | Accepting new patients |
| Coast Dental P.a. | Dentist | Past | Accepting new patients |
Locations
13401 Summerlin Rd
Ste 8
Fort Myers, FL 33919
Phone (239) 415-1880
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dentist
- Tampa, FL
- NPI 1992803860
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567987200000",
"number": "1184684615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5850 CENTRE AVE",
"address_2": "SUITE 800C",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152063780",
"telephone_number": "412-361-7300",
"fax_number": "412-361-4857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13401 SUMMERLIN RD STE 8",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339196593",
"telephone_number": "239-415-1880"
}
],
"practiceLocations": [
{
"address_1": "5850 Centre Ave",
"address_2": "Suite 800c",
"address_purpose": "LOCATION",
"city": "Pittsburgh",
"state": "PA",
"postal_code": "152063717",
"country_code": "US",
"telephone_number": "412-361-7300",
"fax_number": "412-361-4857",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOSEPHSON",
"first_name": "GERALD",
"middle_name": "MARC",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-27",
"last_updated": "2019-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PA",
"license": "DS019130L",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN7364",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.