Gordon Paul Pocialik, D.M.D, M.S.

Primary specialty

DentistTaxonomy code 122300000X

License

DN20442 Issued in FL

Practice address

950 N Collier Blvd
Ste #305
Marco Island, FL 34145-2725

Phone

(239) 389-9400

NPI assigned

Mar 27, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Credentials

Master of Science

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.

• Marco Dental Care, PA

  • Dentist
  • Marco Island, FL
  • NPI 1053656264
  NPD (past)
• Sleeptreatmentdirectinc

  • General Practice Dentistry
  • Bonita Springs, FL
  • NPI 1801418421
  NPD (past)

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

{
    "created_epoch": "1332806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410739200000",
    "number": "1184990848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 N COLLIER BLVD",
            "address_2": "STE #305",
            "city": "MARCO ISLAND",
            "state": "FL",
            "postal_code": "341452725",
            "telephone_number": "239-389-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 N COLLIER BLVD",
            "address_2": "STE #305",
            "city": "MARCO ISLAND",
            "state": "FL",
            "postal_code": "341452725",
            "telephone_number": "239-389-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POCIALIK",
        "first_name": "GORDON",
        "middle_name": "PAUL",
        "credential": "D.M.D, M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-27",
        "last_updated": "2014-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "018001842",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN20442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dwayne Amaru Perkins
• Personal Service Care LLC
• Peter Letendre, LMHC
• Heaven Grace Pianovich
• Damara Plata
• Robert A Poling, MD
• Mary Eileen Pounds-Zabkar, ARNP
• Jacquelyn Prieto
• Paige Alexandria Proctor
• Angela Joy Prodanov, MPT

• Dentist in Marco Island, FL
• Providers in Marco Island, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2014; 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.