Individual provider Active NPI

Nicholas O Gerard, D.M.D M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Billings, MT
National Provider Identifier
1235262874
Registry record updated Jan 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
8889 Issued in TN
Practice address
2675 Central Ave
Ste L8
Billings, MT 59102-6686
Phone
(406) 652-8411
Fax
(406) 652-7905
NPI assigned
Mar 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 8889 TN Primary

Addresses

Primary practice location

2675 Central Ave
Ste L8
Billings, MT 59102-6686

Mailing address

1650 Bonnie LN Ste 101
Cordova, TN 38016-0517
Phone (901) 275-8159

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 26, 2016 through Jul 26, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8889TNMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Oral Surgery & Implant Center Oral and Maxillofacial Surgery PastSince May 2, 2011 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609891200000",
    "number": "1235262874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 BONNIE LN STE 101",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380160517",
            "telephone_number": "901-275-8159",
            "fax_number": "901-907-0057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2675 CENTRAL AVE",
            "address_2": "STE L8",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591026686",
            "telephone_number": "406-652-8411",
            "fax_number": "406-652-7905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERARD",
        "first_name": "NICHOLAS",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "D.M.D  M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TN",
            "license": "8889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Billings, MT

Sources for this page

Verify at the official NPI Registry.