Active NPI
Joseph Michael Gasser, DDS
- Pediatric Dentistry
- Montgomery, OH
National Provider Identifier
1649889304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 30.028360
- Practice address
- 9200 Montgomery Rd Ste 4B
Montgomery, OH 45242-7730 - Phone
- (513) 647-6311
- NPI assigned
- Jul 29, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 30.028360 | OH | Primary |
| Dentist | 122300000X | LL929 | MD | |
| General Practice Dentistry | 1223G0001X | 61685 | KS |
Addresses
Primary practice location
9200 Montgomery Rd Ste 4B
Montgomery, OH 45242-7730
Mailing address
PO Box 1978
Salisbury, MD 21802-1978
Phone (410) 719-1015
Other practice location 1
1901 W 21st St N
Wichita, KS 67203-2106
Phone (316) 832-2838
Other practice location 2
12165 Elm St
Princess Anne, MD 21853-1358
Phone (410) 651-5151
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 119591300 | Medicaid | MD |
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 |
|---|---|---|---|
| LL929 | MD | MD | Dentist |
| 61685 | KS | MD | General Practice Dentistry |
| 30.028360 | OH | MD | Pediatric Dentist |
Interoperability endpoints
- joseph.gasser.1@3167.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775865600000",
"number": "1649889304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1978",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218021978",
"telephone_number": "410-719-1015",
"fax_number": "410-749-0654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9200 MONTGOMERY RD STE 4B",
"city": "MONTGOMERY",
"state": "OH",
"postal_code": "452427730",
"telephone_number": "513-647-6311"
}
],
"practiceLocations": [
{
"address_1": "1901 W 21st St N",
"address_purpose": "LOCATION",
"city": "Wichita",
"state": "KS",
"postal_code": "672032106",
"country_code": "US",
"telephone_number": "316-832-2838",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12165 Elm St",
"address_purpose": "LOCATION",
"city": "Princess Anne",
"state": "MD",
"postal_code": "218531358",
"country_code": "US",
"telephone_number": "410-651-5151",
"fax_number": "410-651-4256",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GASSER",
"first_name": "JOSEPH",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-07-29",
"last_updated": "2026-04-11",
"certification_date": "2026-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "OH",
"license": "30.028360",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "LL929",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "KS",
"license": "61685",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "119591300",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Montgomery, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.