Alan Gerbholz LLC

Primary specialty

DentistTaxonomy code 122300000X

License

DEN.00004397 Issued in CO

Legal business name

ALAN GERBHOLZ LLC

Practice address

9227 E Lincoln Ave
Ste 100
Lone Tree, CO 80124-5506

Phone

(720) 353-4903

NPI assigned

Feb 18, 2016

Last updated

Feb 18, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Paul Hamersky, DDS

Title

Owner

Phone

(720) 353-4903

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1455753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455753600000",
    "number": "1245699289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9227 E LINCOLN AVE",
            "address_2": "STE 100",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245506",
            "telephone_number": "720-353-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9227 E LINCOLN AVE",
            "address_2": "STE 100",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245506",
            "telephone_number": "720-353-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAN GERBHOLZ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-18",
        "last_updated": "2016-02-18",
        "status": "A",
        "authorized_official_last_name": "HAMERSKY",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-353-4903",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "DEN.00004397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Lone Tree, CO
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.