Mark Phillip Gerald, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401413239 Issued in VA

Practice address

3277 S Crater Rd
Petersburg, VA 23805-9285

Phone

(804) 732-5776

Fax

(804) 732-5782

NPI assigned

Jun 23, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Mark P Gerald, DDS, PLLC

  • General Practice Dentistry
  • Manassas, VA
  • NPI 1619806015
  NPD Authorized official
• Southside Dental Associates PC

  • Dental Clinic/Center
  • Petersburg, VA
  • NPI 1477792414
  NPD (past)
• Windber Hospital, Inc.

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536
  NPD (past)

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

{
    "created_epoch": "1308787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308787200000",
    "number": "1265728612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3277 S CRATER RD",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238059285",
            "telephone_number": "804-732-5776",
            "fax_number": "804-732-5782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3277 S CRATER RD",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238059285",
            "telephone_number": "804-732-5776",
            "fax_number": "804-732-5782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERALD",
        "first_name": "MARK",
        "middle_name": "PHILLIP",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-23",
        "last_updated": "2011-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401413239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Genius Home Care, LLC
• Genius Transportation, LLC
• Genoa Healthcare LLC
• Genuine Hearts Home Care Inc
• Gerald Compassion LCC
• Raisa Ghosh, MD
• Rajwinder Singh Gill, M.D.
• Madison Gillard, PA-C
• Rachel R. Gillus, LPC
• Sonya Gittelman, L.C.S.W.

• General Practice Dentistry in Petersburg, VA
• Providers in Petersburg, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2011; 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.