NPIMap

Organization Active NPI

Joseph Gondoly DDS PC

  • Dental Clinic/Center
  • Canton, MI
National Provider Identifier
1609439728
Registry record updated Apr 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
JOSEPH GONDOLY DDS PC
Practice address
44356 Cherry Hill Rd
Canton, MI 48187-3274
Phone
(734) 981-5050
Fax
(734) 981-5021
NPI assigned
Apr 15, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2019

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

Authorized official

Name
Dr. Joseph W Gondoly, DDSNPI 1164591988
Title
Owner
Phone
(734) 981-5050

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

44356 Cherry Hill Rd
Canton, MI 48187-3274

Mailing address

44356 Cherry Hill Rd
Canton, MI 48187-3274
Phone (734) 981-5050

Other names 1

  • Cavalier Dental Doing business as

National Provider Directory

National Provider Directory

Locations

44356 Cherry Hill Rd
Canton, MI 48187
Phone (734) 981-5050

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1555286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555286400000",
    "number": "1609439728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44356 CHERRY HILL RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481873274",
            "telephone_number": "734-981-5050",
            "fax_number": "734-981-5021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44356 CHERRY HILL RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481873274",
            "telephone_number": "734-981-5050",
            "fax_number": "734-981-5021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH GONDOLY DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-15",
        "last_updated": "2019-04-15",
        "status": "A",
        "authorized_official_last_name": "GONDOLY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-981-5050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cavalier Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Canton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2019; 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.