Active NPI
Richard E. Gift, D.D.S.
- Dentist
- Shaker Heights, OH
National Provider Identifier
1568503605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 30015145
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 30015145 | OH | MD | Dentist |
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.