Richard Nathan Gershenzon, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019015487 Issued in IL

Practice address

30 N. Michigan Ave
Suite 904
Chicago, IL 60602-3402

Phone

(312) 372-8538

Fax

(312) 372-0607

NPI assigned

Aug 4, 2008

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.

• Katz and Gershenzon, LTD

  • General Practice Dentistry
  • Chicago, IL
  • NPI 1558580282
  NPD (past) Authorized official

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

{
    "created_epoch": "1217808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217808000000",
    "number": "1194981761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 N MICHIGAN AVE",
            "address_2": "SUITE 904",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606023402",
            "telephone_number": "312-372-8538",
            "fax_number": "312-372-0607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 N. MICHIGAN AVE",
            "address_2": "SUITE 904",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606023402",
            "telephone_number": "312-372-8538",
            "fax_number": "312-372-0607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERSHENZON",
        "first_name": "RICHARD",
        "middle_name": "NATHAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-04",
        "last_updated": "2008-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019015487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel E Geroux
• Gabriel Nathaniel Gerrish, MSW
• Emma Grace Gersch, PNP-AC
• Scott Alan Gershan, MD
• David B. Gershenzon, DMD
• Valeriya Gershevich, DACM, LAC
• Grigory E Gershkovich, M.D.
• Daria Akemi Gershkovitch, BA
• Elliot S Gershon
• Sheldon M. Gershon, M.D.

• General Practice Dentistry in Chicago, IL
• Providers in Chicago, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2008; 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.