Individual provider Active NPI

Gerald P. Unhold, D.M.D., M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Escondido, CA
National Provider Identifier
1225090053
Registry record updated May 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
OMS6 Issued in CA
Practice address
839 E Grand Ave
Escondido, CA 92025-3401
Phone
(760) 432-8888
Fax
(760) 432-0179
NPI assigned
Apr 5, 2006
Last updated
May 10, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X OMS6 CA Primary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X G75039 CA

Addresses

Primary practice location

839 E Grand Ave
Escondido, CA 92025-3401

Mailing address

839 E Grand Ave
Escondido, CA 92025-3401
Phone (760) 432-8888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Nov 21, 2016 through Nov 21, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G75039CAMDOral and Maxillofacial Surgery (Dentist)
OMS6CAMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Madsen Andrus Thompson and Soelberg Partnership Oral and Maxillofacial Surgery 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": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462838400000",
    "number": "1225090053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "839 E GRAND AVE",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920253401",
            "telephone_number": "760-432-8888",
            "fax_number": "760-432-0179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "839 E GRAND AVE",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920253401",
            "telephone_number": "760-432-8888",
            "fax_number": "760-432-0179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNHOLD",
        "first_name": "GERALD",
        "middle_name": "P.",
        "credential": "D.M.D., M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2016-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "OMS6",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "G75039",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

Verify at the official NPI Registry.