Organization Active NPI

Stephen F Gazdick DDS PC

  • General Practice Dentistry
  • Hatfield, PA
National Provider Identifier
1366653909
Registry record updated Mar 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS017663L Issued in PA
Legal business name
STEPHEN F GAZDICK DDS PC
Practice address
461 South Main Street
Hatfield, PA 19440-2511
Phone
(215) 855-1438
NPI assigned
May 25, 2007
Last updated
Mar 29, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2013

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

Authorized official

Name
Dr. Stephen F Gozdick, DDS
Title
President
Phone
(215) 855-1438

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS017663L PA Primary

Addresses

Primary practice location

461 South Main Street
Hatfield, PA 19440-2511

Mailing address

461 South Main Street
Hatfield, PA 19440-2511
Phone (215) 855-1438

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364515200000",
    "number": "1366653909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "461 SOUTH MAIN STREET",
            "city": "HATFIELD",
            "state": "PA",
            "postal_code": "194402511",
            "telephone_number": "215-855-1438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "461 SOUTH MAIN STREET",
            "city": "HATFIELD",
            "state": "PA",
            "postal_code": "194402511",
            "telephone_number": "215-855-1438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN F GAZDICK DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2013-03-29",
        "status": "A",
        "authorized_official_last_name": "GOZDICK",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-855-1438",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS017663L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hatfield, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2013; 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.