Individual provider Active NPI

David Jay Gevirtz, DMD

  • General Practice Dentistry
  • Horsham, PA
National Provider Identifier
1225111669
Registry record updated Jan 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS024061L Issued in PA
Practice address
623 Horsham Rd # a
Horsham, PA 19044-1207
Phone
(215) 443-7400
Fax
(215) 443-0760
NPI assigned
Oct 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS024061L PA Primary

Addresses

Primary practice location

623 Horsham Rd # a
Horsham, PA 19044-1207

Mailing address

623 Horsham Rd # a
Horsham, PA 19044-1207
Phone (215) 443-7400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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

Enrollment IDStateProvider typePAC IDDetails
I20180529003189 GA Order and Referring Only - DentistPractitioner - Dentist 4880959535

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS024061LPAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Horsham Dental Care PC General Practice PastSince Jul 24, 2022 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": "1161388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485043200000",
    "number": "1225111669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 HORSHAM RD # A",
            "city": "HORSHAM",
            "state": "PA",
            "postal_code": "190441207",
            "telephone_number": "215-443-7400",
            "fax_number": "215-443-0760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 HORSHAM RD # A",
            "city": "HORSHAM",
            "state": "PA",
            "postal_code": "190441207",
            "telephone_number": "215-443-7400",
            "fax_number": "215-443-0760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEVIRTZ",
        "first_name": "DAVID",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-21",
        "last_updated": "2017-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS024061L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Horsham, PA

Sources for this page

Verify at the official NPI Registry.