Organization Active NPI

John Gazzerro DDS Inc

  • Dentist
  • Dayton, OH
National Provider Identifier
1679628549
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30019308 Issued in OH
Legal business name
JOHN GAZZERRO DDS INC
Practice address
2545 Far Hills Ave
Dayton, OH 45419-1505
Phone
(937) 294-6476
NPI assigned
Jan 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. John W Gazzerro, D.D.S.NPI 1184839060
Title
President
Phone
(937) 294-6476

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 30019308 OH Primary

Addresses

Primary practice location

2545 Far Hills Ave
Dayton, OH 45419-1505

Mailing address

2545 Far Hills Ave
Dayton, OH 45419-1505
Phone (937) 294-6476

National Provider Directory

National Provider Directory

Locations

2545 Far Hills Ave
Oakwood, OH 45419
Phone (937) 294-6476

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": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679628549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2545 FAR HILLS AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454191505",
            "telephone_number": "937-294-6476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2545 FAR HILLS AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454191505",
            "telephone_number": "937-294-6476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN GAZZERRO DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GAZZERRO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-294-6476",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OH",
            "license": "30019308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.