Forrest Russell Gearhart, DMD
Individual provider Active NPI General Practice Dentistry · Adams, WI
NPI 1225310022 · NPPES record last updated Aug 27, 2025
Key facts
- NPI
- 1225310022
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 1001173 (WI)
- Practice address
- 149 S Main St
Adams, WI 53910-9803 - Phone
- (608) 339-6613
- Fax
- (608) 339-3936
- NPI assigned
- Sep 16, 2011
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D-4374 | ID | MD | General Practice Dentistry |
| 1001173 | WI | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joseph R. Parlante DDS | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D-4374 | ID | |
| General Practice Dentistry | 1223G0001X | 1001173 | WI | Yes |
Addresses
Primary practice location
149 S Main St
Adams, WI 53910-9803
Mailing address
PO Box 370
Adams, WI 53910-0370
Phone (907) 978-4829
NPI Registry JSON
{
"created_epoch": "1316131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756252800000",
"number": "1225310022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 370",
"city": "ADAMS",
"state": "WI",
"postal_code": "539100370",
"telephone_number": "907-978-4829",
"fax_number": "608-339-3936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "149 S MAIN ST",
"city": "ADAMS",
"state": "WI",
"postal_code": "539109803",
"telephone_number": "608-339-6613",
"fax_number": "608-339-3936"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEARHART",
"first_name": "FORREST",
"middle_name": "RUSSELL",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-09-16",
"last_updated": "2025-08-27",
"certification_date": "2025-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "ID",
"license": "D-4374",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WI",
"license": "1001173",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Adams, WI
- Sherry Lea Baumgart
- Marcie Chavez
- Riley Collins
- Patrick Frank
- Jill Victoria Fyksen
- Joseph R. Parlante DDS
- Kelley Sue Lecy
- Liberty Manor Inc
- Liberty Manor Inc
- North Star Services, Inc
All providers in Adams, WI · General Practice Dentistry in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 27, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.