Individual provider Active NPI

Stephen Roy Gschrey, DMD

  • General Practice Dentistry
  • Bethlehem, PA
National Provider Identifier
1659419315
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS025113L Issued in PA
Practice address
2551 Baglyos Circle
Suite A12
Bethlehem, PA 18020-8042
Phone
(610) 691-3050
Fax
(610) 691-7950
NPI assigned
Feb 2, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS025113L PA Primary

Addresses

Primary practice location

2551 Baglyos Circle
Suite A12
Bethlehem, PA 18020-8042

Mailing address

5085 Wagner Dr
Bethlehem, PA 18020-8818
Phone (610) 758-8125

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151202000011 PA Order and Referring Only - General PracticePractitioner - General Practice 5890095541

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS025113LPAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Stephen R. Gschrey, DMD General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659419315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5085 WAGNER DR",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180208818",
            "telephone_number": "610-758-8125",
            "fax_number": "610-691-7950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2551 BAGLYOS CIRCLE",
            "address_2": "SUITE A12",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180208042",
            "telephone_number": "610-691-3050",
            "fax_number": "610-691-7950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GSCHREY",
        "first_name": "STEPHEN",
        "middle_name": "ROY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS025113L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.