Jon Gesicki, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN20522 Issued in FL

Practice address

5580 Cortez Rd W
Bradenton, FL 34210-2817

Phone

(941) 914-9181

NPI assigned

Jan 10, 2014

Last updated

Feb 8, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

State licenses

Networks

• Freedom Health HMO Network

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

{
    "created_epoch": "1389312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518048000000",
    "number": "1225450216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5580 CORTEZ RD W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342102817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5580 CORTEZ RD W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342102817",
            "telephone_number": "941-914-9181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GESICKI",
        "first_name": "JON",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-01-10",
        "last_updated": "2018-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901021123",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN20522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren M Geraldson, DPT
• Anastasia A Geramanis, LCSW
• Amanda Gerber, M.A., L.M.H.C
• Kate R Gerber, MD
• Sheinnera Nayze Ramos Gerongay, MD
• Allison Marie Gessler, LMFT
• Robert C. Gessner, M.D.
• Mehrzad Ghafghaichi, M.D.
• Ahmad Ghafoor, MD
• Shamas Ghazanfar, MD

• General Practice Dentistry in Bradenton, FL
• Providers in Bradenton, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.