NPIMap

Organization Active NPI

Gregory W Geldart DMD, PLC

  • General Practice Dentistry
  • Purcellville, VA
National Provider Identifier
1215150065
Registry record updated Jan 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401006764 Issued in VA
Legal business name
GREGORY W GELDART DMD, PLC
Practice address
17340 Pickwick Dr
Suite 100
Purcellville, VA 20132-6181
Phone
(540) 338-3186
NPI assigned
Apr 10, 2007
Last updated
Jan 17, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2012

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

Authorized official

Name
Dr. Gregory W Geldart, DMDNPI 1538289103
Title
President
Phone
(540) 338-3186

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0401006764 VA Primary

Addresses

Primary practice location

17340 Pickwick Dr
Suite 100
Purcellville, VA 20132-6181

Mailing address

17340 Pickwick Dr
Suite 100
Purcellville, VA 20132-6181
Phone (540) 338-3186

National Provider Directory

National Provider Directory
Tax ID family
Gregory W Geldart DMD PLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

17340 Pickwick Dr
Ste 100
Purcellville, VA 20132
Phone (540) 338-3186

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326758400000",
    "number": "1215150065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17340 PICKWICK DR",
            "address_2": "SUITE 100",
            "city": "PURCELLVILLE",
            "state": "VA",
            "postal_code": "201326181",
            "telephone_number": "540-338-3186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17340 PICKWICK DR",
            "address_2": "SUITE 100",
            "city": "PURCELLVILLE",
            "state": "VA",
            "postal_code": "201326181",
            "telephone_number": "540-338-3186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY W GELDART DMD, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2012-01-17",
        "status": "A",
        "authorized_official_last_name": "GELDART",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "540-338-3186",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401006764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Purcellville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2012; 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.