Individual provider Active NPI

Richard E. Gift, D.D.S.

  • Dentist
  • Shaker Heights, OH
National Provider Identifier
1568503605
Registry record updated Feb 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30015145 Issued in OH
Practice address
20475 Farnsleigh Rd
Suite 305
Shaker Heights, OH 44122-3877
Phone
(216) 752-2066
Fax
(216) 752-2067
NPI assigned
Feb 10, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30015145 OH Primary

Addresses

Primary practice location

20475 Farnsleigh Rd
Suite 305
Shaker Heights, OH 44122-3877

Mailing address

20475 Farnsleigh Rd
Suite 305
Shaker Heights, OH 44122-3877
Phone (216) 752-2066

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

LicenseStateTypeSpecialty
30015145OHMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1171065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328486400000",
    "number": "1568503605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20475 FARNSLEIGH RD",
            "address_2": "SUITE 305",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441223877",
            "telephone_number": "216-752-2066",
            "fax_number": "216-752-2067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20475 FARNSLEIGH RD",
            "address_2": "SUITE 305",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441223877",
            "telephone_number": "216-752-2066",
            "fax_number": "216-752-2067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIFT",
        "first_name": "RICHARD",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-10",
        "last_updated": "2012-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30015145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shaker Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.