Andrew Gazerro III, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2598 Issued in RI

Practice address

1425 Main St
West Warwick, RI 02893-3895

Phone

(401) 821-6766

Fax

(401) 821-6767

NPI assigned

Feb 16, 2007

Last updated

Jul 8, 2007By 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in RI

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

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.

• Andrew Gazerro III, DMD, PC, Inc.

  • General Practice Dentistry
  • West Warwick, RI
  • NPI 1801930474
  NPD (past) Authorized official

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487798047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 MAIN ST",
            "city": "WEST WARWICK",
            "state": "RI",
            "postal_code": "028933895",
            "telephone_number": "401-821-6766",
            "fax_number": "401-821-6767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 MAIN ST",
            "city": "WEST WARWICK",
            "state": "RI",
            "postal_code": "028933895",
            "telephone_number": "401-821-6766",
            "fax_number": "401-821-6767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAZERRO",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "RI",
            "license": "2598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER #",
            "identifier": "8741-2",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Holly Gagnon
• Lawrence Gallagher, LMT
• May Dongmei Gao, DMD
• Jessica L Garcia, LICSW
• Gateways to Change, Inc.
• Meryl Ashley Gendreau
• Nicole Deonna Giarrusso, FNP-C
• Kate S Gillis
• Caitlin Ann Gillooly, MD
• Kathleen Ann Glancy, RN, CDE

• General Practice Dentistry in West Warwick, RI
• Providers in West Warwick, RI by specialty
• General Practice Dentistry in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.