Anwar Gebremichael, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

17947 Issued in MD

Practice address

10 Richland Medical Park Dr Ste a
Columbia, SC 29203-6892

Phone

(803) 434-6567

NPI assigned

May 18, 2023

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1684368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1205527264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9706 BANTING DR",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220322453",
            "telephone_number": "301-448-5958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 RICHLAND MEDICAL PARK DR STE A",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036892",
            "telephone_number": "803-434-6567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEBREMICHAEL",
        "first_name": "ANWAR",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-18",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401418377",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "17947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kadeidre La'Trell Gaymon
• GD SC Columbia, LLC
• David Gearding Jr., DO
• Shannon Leigh Gearhart, M.D.
• Cindy Irene Gearheart, APRN, FNP-C
• Robert Duncan Geddens, D.P.T.
• Amanda A. Geddings, FNP
• Cheryl S Geddings, LISW-CP
• Kory Lindsay Geddings, PHARMD
• Danielle Rose Gedz

• General Practice Dentistry in Columbia, SC
• Providers in Columbia, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; 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.