Individual provider Active NPI

Gerald A. Elpert, D.D.S.

  • General Practice Dentistry
  • Madison, SD
National Provider Identifier
1194760330
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
M495 Issued in SD
Practice address
622 N Highland Ave
Madison, SD 57042-1956
Phone
(605) 256-6668
Fax
(605) 256-9251
NPI assigned
Jun 19, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X M495 SD Primary

Addresses

Primary practice location

622 N Highland Ave
Madison, SD 57042-1956

Mailing address

622 N Highland Ave
Madison, SD 57042-1956
Phone (605) 256-6668

Other identifiers 1

IdentifierTypeStateIssuer
7800870MedicaidSD

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
M495SDMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Kevin M. Donlin, D.M.D., P.C. General Practice Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1194760330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 N HIGHLAND AVE",
            "city": "MADISON",
            "state": "SD",
            "postal_code": "570421956",
            "telephone_number": "605-256-6668",
            "fax_number": "605-256-9251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 N HIGHLAND AVE",
            "city": "MADISON",
            "state": "SD",
            "postal_code": "570421956",
            "telephone_number": "605-256-6668",
            "fax_number": "605-256-9251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELPERT",
        "first_name": "GERALD",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-19",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SD",
            "license": "M495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7800870",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.