Gino a Gismondi DDS PLLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

3781 Issued in WV

Legal business name

GINO A GISMONDI DDS PLLC

Practice address

700 W Pike St
Suite 100
Clarksburg, WV 26301-2696

Phone

(304) 622-4828

Fax

(304) 624-0977

NPI assigned

Jun 23, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Jocelyn Nicole Vilain

Title

Office Manager

Phone

(304) 622-4828

Specialties & licenses 1

Addresses

Other identifiers 5

Locations

Practitioners 1

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

• David A Lattanzi, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Clarksburg, WV
  • NPI 1265511091
  NPD (past)

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

{
    "created_epoch": "1403481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454457600000",
    "number": "1235544958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 W PIKE ST",
            "address_2": "SUITE 100",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "263012696",
            "telephone_number": "304-622-4828",
            "fax_number": "304-624-0977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W PIKE ST",
            "address_2": "SUITE 100",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "263012696",
            "telephone_number": "304-622-4828",
            "fax_number": "304-624-0977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GINO A GISMONDI DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-23",
        "last_updated": "2016-02-03",
        "status": "A",
        "authorized_official_last_name": "VILAIN",
        "authorized_official_first_name": "JOCELYN",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "304-622-4828",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "WV",
            "license": "3781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810026369",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "3073126",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP",
            "identifier": "3910006064",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "001750853",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810000420",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cynthia Marie Gettings
• Ghassan Richard Ghorayeb, MD
• Jeffrey Gill, PHARMD
• Alecia Gillespie
• Leeann N Gillespie
• Gino Anthony Gismondi, DDS
• Robert G Given Jr., PAC
• Susan Lewis Given, MPAS, PAC
• Megan Glass
• Karen A Glogowski, M.D.

• Oral and Maxillofacial Surgery (Dentist) in Clarksburg, WV
• Providers in Clarksburg, WV by specialty
• Oral and Maxillofacial Surgery (Dentist) in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2016; 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.