Individual provider Active NPI

Dennis Gaskin, DDS

  • Dentist
  • Moyock, NC
National Provider Identifier
1689756124
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5986 Issued in NC
Practice address
107 Lazy Corner Rd
Moyock, NC 27958-0356
Phone
(252) 435-6335
NPI assigned
Oct 20, 2006
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
Dentist 122300000X 5986 NC Primary

Addresses

Primary practice location

107 Lazy Corner Rd
Moyock, NC 27958-0356

Mailing address

PO Box 356
107 Lazy Corner Rd
Moyock, NC 27958-0356
Phone (252) 435-6335

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20160126000722 NC Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 3971825480

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dennis D. Gaskin, DDS, PA Past Accepting new patients
Affordable Dentures & Implants - Virginia Beach III, P.C. PastSince Mar 24, 2024 Accepting new patients

Organizations & group practices 2

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": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689756124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 356",
            "address_2": "107 LAZY CORNER RD",
            "city": "MOYOCK",
            "state": "NC",
            "postal_code": "279580356",
            "telephone_number": "252-435-6335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 LAZY CORNER RD",
            "city": "MOYOCK",
            "state": "NC",
            "postal_code": "279580356",
            "telephone_number": "252-435-6335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASKIN",
        "first_name": "DENNIS",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "5986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moyock, NC

Sources for this page

Verify at the official NPI Registry.