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

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
D-4374IDMDGeneral Practice Dentistry
1001173WIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph R. Parlante DDS Past
since Sep 3, 2025
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 27, 2025.

{
    "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

All providers in Adams, WI · General Practice Dentistry in Wisconsin

Sources for this page

Verify at the official NPI Registry.