Individual provider Active NPI

Alan Hugo Gerbholz, D.D.S.

  • General Practice Dentistry
  • Dallas, TX
National Provider Identifier
1437285186
Registry record updated Mar 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
33488 Issued in TX
Practice address
3940 W Wheatland Rd
Dallas, TX 75237-3468
Phone
(972) 227-6453
Fax
(972) 780-9167
NPI assigned
Feb 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X
General Practice Dentistry 1223G0001X 33488 TX Primary

Addresses

Primary practice location

3940 W Wheatland Rd
Dallas, TX 75237-3468

Mailing address

10450 Park Meadows Dr
Ste 102
Lone Tree, CO 80124-5529
Phone (303) 910-8176

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33488TXMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
H L Sugg DDS PA General Practice Past Accepting new patients
Agsa PastSince May 10, 2010 Accepting new patients

Organizations & group practices 2

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": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552348800000",
    "number": "1437285186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10450 PARK MEADOWS DR",
            "address_2": "STE 102",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245529",
            "telephone_number": "303-910-8176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3940 W WHEATLAND RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752373468",
            "telephone_number": "972-227-6453",
            "fax_number": "972-780-9167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERBHOLZ",
        "first_name": "ALAN",
        "middle_name": "HUGO",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2019-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "33488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2019; 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.