Gerik Dental, Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

1350 Issued in AK

Legal business name

GERIK DENTAL, INC

Practice address

1305 21St Ave
Suite #102
Fairbanks, AK 99701-6084

Phone

(907) 456-5665

Fax

(907) 456-1753

NPI assigned

May 15, 2014

Last updated

May 15, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan Gerik, D.D.S.NPI 1538396536

Title

Owner/President

Phone

(907) 456-5665

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jonathan J Gerik, D.D.S.

  • Dentist
  • Fairbanks, AK
  • NPI 1538396536
  NPD (past) Authorized official

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

{
    "created_epoch": "1400112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400112000000",
    "number": "1558772277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 21ST AVE",
            "address_2": "SUITE #102",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997016084",
            "telephone_number": "907-456-5665",
            "fax_number": "907-456-1753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 21ST AVE",
            "address_2": "SUITE #102",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997016084",
            "telephone_number": "907-456-5665",
            "fax_number": "907-456-1753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERIK DENTAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-15",
        "last_updated": "2014-05-15",
        "status": "A",
        "authorized_official_last_name": "GERIK",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "907-456-5665",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AK",
            "license": "1350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1601351",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• George R Vrablik MD Apc
• George R. Kirchner & Rural Community Consultants LLC
• Rebecca George
• Tiffany George
• Catherine Alice Gerby, LCSW
• Jonathan J Gerik, D.D.S.
• Stephen S Gerrish, MD
• Ashley Nicole Gerrits
• Bhawana Ghimire
• Stephanie Gho, PA-C

• Dental Clinic/Center in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Dental Clinic/Center in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.

Verify at the official NPI Registry.