Matthew Michael Gaebelein, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

20066 Issued in OH

Practice address

235 Broad Street
Wadsworth, OH 44281

Phone

(330) 335-1563

Fax

(330) 335-1564

NPI assigned

Nov 20, 2006

Sex

Male

Sole proprietor

No

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

Enrolled in OH

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

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.

• Alexander J McIlvaine DMD LLC

  • General Practice Dentistry
  • Wadsworth, OH
  • NPI 1831577717
  NPD (past)
• Jeff T Warner DDS Inc

  • Dentist
  • Wadsworth, OH
  • NPI 1780624635
  NPD (past)

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215001029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 BROAD STREET",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "44281",
            "telephone_number": "330-335-1563",
            "fax_number": "330-335-1564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 BROAD STREET",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "44281",
            "telephone_number": "330-335-1563",
            "fax_number": "330-335-1564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAEBELEIN",
        "first_name": "MATTHEW",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "20066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leanna Rene Freund
• Joy Frye
• Brian Fuller
• Karen Lyn Fuller
• Michael Gabel
• David Charles Gale, RPH.
• Dawn Marie Gardner, CNP
• Angela R Gasser, DDS
• Spencer Jeffrey Gasser, DO
• Daniel Walter Gembus, M.D.

• Dentist in Wadsworth, OH
• Providers in Wadsworth, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.