Andrew Merritt Gorham, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12229 Issued in NC

Practice address

111 Candlewood Rd
Rocky Mount, NC 27804-2130

Phone

(252) 443-2328

NPI assigned

Jun 7, 2021

Last updated

Jun 7, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• DRS. Hunt and Hunt, PA

  • General Practice Dentistry
  • Rocky Mount, NC
  • NPI 1902026693
  NPD (past)
• H. Howard Weeks, DDS, PA

  • General Practice Dentistry
  • Spring Hope, NC
  • NPI 1083829428
  NPD (past)

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

{
    "created_epoch": "1623024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623024000000",
    "number": "1487221719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5425 SYKES RD",
            "city": "NASHVILLE",
            "state": "NC",
            "postal_code": "278568325",
            "telephone_number": "252-955-0697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 CANDLEWOOD RD",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278042130",
            "telephone_number": "252-443-2328"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "615 E Nash St",
            "address_purpose": "LOCATION",
            "city": "Spring Hope",
            "state": "NC",
            "postal_code": "278827873",
            "country_code": "US",
            "telephone_number": "252-478-3422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORHAM",
        "first_name": "ANDREW",
        "middle_name": "MERRITT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-07",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "12229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luisa Fernanda Gonzalez, MD
• Good Shepherd Home Health Care Inc.
• David Wayne Goodman, PHD
• George Scott Goodwyn, RPH
• David R Gorby, MD
• Ernest Alonza Gorham, APRN, PMHNP-BC
• Olivia Sue Gornichec, PA-C
• Vivek Govekar
• Graca Holdings LLC (Hunter Hill Senior Living)
• Grace (Unto Grace)

• General Practice Dentistry in Rocky Mount, NC
• Providers in Rocky Mount, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2021; 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.