Individual provider Active NPI

Thomas Nygaard Gensbigler, DMD

  • General Practice Dentistry
  • Camp Hill, PA
National Provider Identifier
1366592131
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS030347-L Issued in PA
Practice address
40 N 36TH St
Camp Hill, PA 17011-2709
Phone
(717) 737-4321
Fax
(717) 737-4357
NPI assigned
Jan 11, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS030347-L PA Primary

Addresses

Primary practice location

40 N 36TH St
Camp Hill, PA 17011-2709

Mailing address

40 N 36TH St
Camp Hill, PA 17011-2709
Phone (717) 737-4321

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160311000161 PA Order and Referring Only - DentistPractitioner - Dentist 2062718471

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS030347-LPAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
West Shore Family Dentistry LTD General Practice 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.

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366592131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 N 36TH ST",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170112709",
            "telephone_number": "717-737-4321",
            "fax_number": "717-737-4357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 N 36TH ST",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170112709",
            "telephone_number": "717-737-4321",
            "fax_number": "717-737-4357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENSBIGLER",
        "first_name": "THOMAS",
        "middle_name": "NYGAARD",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS030347-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camp Hill, PA

Sources for this page

Verify at the official NPI Registry.