Robert Kyle Gazdeck, D.D.S.

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

10308 Issued in NC

Practice address

3709 University Dr Ste D
Durham, NC 27707

Phone

(919) 489-8661

NPI assigned

Aug 9, 2015

Last updated

Jan 10, 2023By the provider in NPPES

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective May 30, 2019 through May 30, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cunningham & Gazdeck DDS PLLC

  dba Durham Prosthodontics

  • Prosthodontics
  • Durham, NC
  • NPI 1376256495
  NPD Authorized official

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

{
    "created_epoch": "1439078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1316323678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3709 UNIVERSITY DR STE D",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277076224",
            "telephone_number": "919-489-8661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3709 UNIVERSITY DR STE D",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "27707",
            "telephone_number": "919-489-8661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAZDECK",
        "first_name": "ROBERT",
        "middle_name": "KYLE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-09",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "NC",
            "license": "10308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorrin Nichole Gavitt, CRNA
• Tomasz Ryszard Gawecki, MD
• Joshua David Gay, PA-C
• Laura Cone Gay, M.D.
• Shannon Marie Gaylord
• Sol Gazzingan, M.D.
• Maria Marta Gazzola, M.D.
• Rasheed Gbadegesin, M.D.
• Leon Wallace Geary, MD
• Jasmine Sharlene Geathers

• Prosthodontics in Durham, NC
• Providers in Durham, NC by specialty
• Prosthodontics in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.