NPIMap

Organization Active NPI

David C. Gephardt D.D.S.,P.C.

  • General Practice Dentistry
  • Anderson, IN
National Provider Identifier
1184752032
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
54000501A Issued in IN
Legal business name
DAVID C. GEPHARDT D.D.S.,P.C.
Practice address
815 W 8TH St
Anderson, IN 46016-1207
Phone
(765) 643-3061
NPI assigned
Mar 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. David C Gephardt, D.D.S.NPI 1316075260
Title
President
Phone
(765) 643-3061

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 54000501A IN Primary

Addresses

Primary practice location

815 W 8TH St
Anderson, IN 46016-1207

Mailing address

815 W 8TH St
Anderson, IN 46016-1207
Phone (765) 643-3061

National Provider Directory

National Provider Directory

Locations

815 W 8th St
Anderson, IN 46016
Phone (765) 643-3061

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184752032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 W 8TH ST",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460161207",
            "telephone_number": "765-643-3061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 W 8TH ST",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460161207",
            "telephone_number": "765-643-3061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID C. GEPHARDT D.D.S.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GEPHARDT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "765-643-3061",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "54000501A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, IN

Sources for this page

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