NPIMap

Organization Active NPI

Gary G. Wadsworth, D.M.D., P.C.

  • Endodontics
  • Scranton, PA
National Provider Identifier
1487665741
Registry record updated Apr 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
DS025280L Issued in PA
Legal business name
GARY G. WADSWORTH, D.M.D., P.C.
Practice address
327 N. Washington Avenue
Suite 904
Scranton, PA 18503-1543
Phone
(570) 342-9246
Fax
(570) 346-3434
NPI assigned
Aug 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2012

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

Authorized official

Name
Dr. Gary G. Wadsworth, DMDNPI 1255777942
Title
Owner
Phone
(570) 342-9246

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223E0200X DS025280L PA Primary

Addresses

Primary practice location

327 N. Washington Avenue
Suite 904
Scranton, PA 18503-1543

Mailing address

327 N. Washington Avenue
Suite 904
Scranton, PA 18503-1543
Phone (570) 342-9246

National Provider Directory

National Provider Directory

Locations

327 N Washington Ave
Ste 904
Scranton, PA 18503
Phone (570) 342-9246

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333411200000",
    "number": "1487665741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 N. WASHINGTON AVENUE",
            "address_2": "SUITE 904",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185031543",
            "telephone_number": "570-342-9246",
            "fax_number": "570-346-3434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 N. WASHINGTON AVENUE",
            "address_2": "SUITE 904",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185031543",
            "telephone_number": "570-342-9246",
            "fax_number": "570-346-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY G. WADSWORTH, D.M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2012-04-03",
        "status": "A",
        "authorized_official_last_name": "WADSWORTH",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-342-9246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "PA",
            "license": "DS025280L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2012; 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.