Active NPI
Alan Hugo Gerbholz, D.D.S.
- General Practice Dentistry
- Dallas, TX
National Provider Identifier
1437285186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 33488
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 33488 | TX | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| H L Sugg DDS PA | General Practice | Past | Accepting new patients |
| Agsa | Past | 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.
-
- Sleep Medicine (Family Medicine) Physician
- Castle Rock, CO
- NPI 1518296987
-
- General Practice Dentistry
- Dallas, TX
- NPI 1689809568
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.