Active NPI
Gary Gersh, D.D.S.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Huber Heights, OH
National Provider Identifier
1528468352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 30012462
- Practice address
- 5211 Waynetowne CT
Huber Heights, OH 45424-2124 - Phone
- (937) 278-7417
- NPI assigned
- Aug 28, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 30012462 | OH | Primary |
Addresses
Primary practice location
5211 Waynetowne CT
Huber Heights, OH 45424-2124
Mailing address
7575 Pelican Bay Blvd
Naples, FL 34108-7532
Phone (239) 566-2525
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30012462 | OH | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409184000000",
"number": "1528468352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7575 PELICAN BAY BLVD",
"city": "NAPLES",
"state": "FL",
"postal_code": "341087532",
"telephone_number": "239-566-2525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5211 WAYNETOWNE CT",
"city": "HUBER HEIGHTS",
"state": "OH",
"postal_code": "454242124",
"telephone_number": "937-278-7417"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERSH",
"first_name": "GARY",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-08-28",
"last_updated": "2014-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "OH",
"license": "30012462",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huber Heights, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.