Active NPI
Gary Gerald Wadsworth
- Endodontics
- Scranton, PA
National Provider Identifier
1255777942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- DS025280L
- Practice address
- 327 N Washington Ave Ste 904
Scranton, PA 18503-1543 - Phone
- (570) 342-9246
- Fax
- (570) 346-3434
- NPI assigned
- May 21, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | DS025280L | PA | Primary |
Addresses
Primary practice location
327 N Washington Ave Ste 904
Scranton, PA 18503-1543
Mailing address
327 N Washington Ave Ste 904
Scranton, PA 18503-1543
Phone (570) 342-9246
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS025280L | PA | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gary G. Wadsworth, D.M.D., P.C. | Endodontics | Past | 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.
-
- Endodontics
- Scranton, PA
- NPI 1487665741
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369094400000",
"number": "1255777942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "327 N WASHINGTON AVE STE 904",
"city": "SCRANTON",
"state": "PA",
"postal_code": "185031543",
"telephone_number": "570-342-9246",
"fax_number": "570-346-3434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "327 N WASHINGTON AVE STE 904",
"city": "SCRANTON",
"state": "PA",
"postal_code": "185031543",
"telephone_number": "570-342-9246",
"fax_number": "570-346-3434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WADSWORTH",
"first_name": "GARY",
"middle_name": "GERALD",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-05-21",
"last_updated": "2013-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "PA",
"license": "DS025280L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scranton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.