Active NPI
Alan M. Gonick, D.M.D.
- General Practice Dentistry
- Haverhill, MA
National Provider Identifier
1265414478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 18074
- Practice address
- 122 Kenoza Ave
Haverhill, MA 01830-4139 - Phone
- (978) 374-7942
- Fax
- (978) 374-2475
- NPI assigned
- Nov 15, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 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
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 |
|---|---|---|---|
| 18074 | MA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alan M. Gonick, D.M.D., PC | 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.
-
- Dental Clinic/Center
- Haverhill, MA
- NPI 1235396979
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1265414478",
"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": {
"last_name": "GONICK",
"first_name": "ALAN",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-15",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"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 Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.