Patrick Laurence Gadola, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2901015601 Issued in MI

Practice address

204 S Bostwick St
Charlotte, MI 48813-1801

Phone

(517) 543-2820

Fax

(517) 543-0297

NPI assigned

Dec 16, 2006

Sex

Male

Sole proprietor

Yes

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

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

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.

• Patrick L Gadola, DDS, PC

  • General Practice Dentistry
  • Charlotte, MI
  • NPI 1164546008
  NPD (past) Authorized official

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

{
    "created_epoch": "1166227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276560000000",
    "number": "1386707016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 WALMAR DR",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489175103",
            "telephone_number": "517-321-8186",
            "fax_number": "517-321-8186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 S BOSTWICK ST",
            "city": "CHARLOTTE",
            "state": "MI",
            "postal_code": "488131801",
            "telephone_number": "517-543-2820",
            "fax_number": "517-543-0297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GADOLA",
        "first_name": "PATRICK",
        "middle_name": "LAURENCE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-16",
        "last_updated": "2010-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901015601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fox and Vine Therapy P.L.L.C
• Laura Rose Fox, LMSW
• James Fradette, M.P.T.
• Kimberly R Friar, MD
• Kristen Nicole Friedland, PHARMD, MBA
• Taylor Galbraith, PHARMD
• Elizabeth Gendernalik, OTR/L
• Lynda L Goeman, OD
• Great Lakes Family Dental Group-Charlotte, P.C.
• Gregory H Colbert DPM

• Dentist in Charlotte, MI
• Providers in Charlotte, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2010; 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.