NPIMap

Organization Active NPI

Alan M. Gonick, D.M.D., PC

  • Dental Clinic/Center
  • Haverhill, MA
National Provider Identifier
1235396979
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
18074 Issued in MA
Legal business name
ALAN M. GONICK, D.M.D., PC
Practice address
122 Kenoza Ave
Haverhill, MA 01830-4139
Phone
(978) 374-7942
Fax
(978) 374-2475
NPI assigned
May 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2008

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

Authorized official

Name
Dr. Alan M. Gonick, D.M.D.NPI 1265414478
Title
Owner
Phone
(978) 374-7942

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 18074 MA Primary

Addresses

Primary practice location

122 Kenoza Ave
Haverhill, MA 01830-4139

Mailing address

122 Kenoza Ave
Haverhill, MA 01830-4139
Phone (978) 374-7942

National Provider Directory

National Provider Directory

Locations

122 Kenoza Ave
Haverhill, MA 01830
Phone (978) 374-7942

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211241600000",
    "number": "1235396979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 KENOZA AVE",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018304139",
            "telephone_number": "978-374-7942",
            "fax_number": "978-374-2475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 KENOZA AVE",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018304139",
            "telephone_number": "978-374-7942",
            "fax_number": "978-374-2475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAN M. GONICK, D.M.D., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-20",
        "last_updated": "2008-05-20",
        "status": "A",
        "authorized_official_last_name": "GONICK",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-374-7942",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MA",
            "license": "18074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haverhill, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.