Matthew Gesell, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

36392 Issued in TX

Practice address

1401 S Jefferson Ave Ste 4
Mount Pleasant, TX 75455-5647

Phone

(903) 752-1600

NPI assigned

Jul 27, 2020

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.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1595808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595808000000",
    "number": "1316556244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 PAYNE ST APT 610",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752012574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 S JEFFERSON AVE STE 4",
            "city": "MOUNT PLEASANT",
            "state": "TX",
            "postal_code": "754555647",
            "telephone_number": "903-752-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GESELL",
        "first_name": "MATTHEW",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-27",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "36392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vicky Nell Garretson, RN
• Ditzi Coral Garrett, RPH, PHARM D
• Gary B Cole, MD, PA
• Aldine A Gearing, OT
• Aerial Shantelle George, CPNP-AC
• Mark James Glanzer, OD
• Grace Community Health LLC Inc.
• Christina Graham, CDCES
• Lenora Patterson Graziani, CRNA
• Anthony V Greco, M.D., F.A.A.D.

• Dentist in Mount Pleasant, TX
• Providers in Mount Pleasant, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.