Individual provider Active NPI

Jirard Melvin Gerber, DMD

  • General Practice Dentistry
  • Harrisburg, PA
National Provider Identifier
1689681330
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS024951L Issued in PA
Practice address
4999 Jonestown Rd
Suite 102
Harrisburg, PA 17109-1743
Phone
(717) 652-3094
Fax
(717) 652-3314
NPI assigned
Aug 2, 2006
Sex
Male
Sole proprietor
No

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 DS024951L PA Primary

Addresses

Primary practice location

4999 Jonestown Rd
Suite 102
Harrisburg, PA 17109-1743

Mailing address

4999 Jonestown Rd
Suite 102
Harrisburg, PA 17109-1743
Phone (717) 652-3094

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150622000958 PA Order and Referring Only - DentistPractitioner - Dentist 1658682380

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689681330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4999 JONESTOWN RD",
            "address_2": "SUITE 102",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171091743",
            "telephone_number": "717-652-3094",
            "fax_number": "717-652-3314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4999 JONESTOWN RD",
            "address_2": "SUITE 102",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171091743",
            "telephone_number": "717-652-3094",
            "fax_number": "717-652-3314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERBER",
        "first_name": "JIRARD",
        "middle_name": "MELVIN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS024951L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

Verify at the official NPI Registry.