Organization Active NPI

David J Gimmarro, DDS, PC

  • Clinic/Center
  • Westland, MI
National Provider Identifier
1689818692
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
2901015423 Issued in MI
Legal business name
DAVID J GIMMARRO, DDS, PC
Practice address
8001 N Merriman Rd
Westland, MI 48185-1608
Phone
(734) 522-6470
Fax
(734) 522-6937
NPI assigned
Apr 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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

Authorized official

Name
Nicole L Gossman
Title
Practice Manager
Phone
(734) 522-6470

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 2901015423 MI Primary
Dental Clinic/Center 261QD0000X 019022356 IL

Addresses

Primary practice location

8001 N Merriman Rd
Westland, MI 48185-1608

Mailing address

8001 N Merriman Rd
Westland, MI 48185-1608
Phone (734) 522-6470

Other practice location 1

8001 N Merriman Rd
Westland, MI 48185-1608
Phone (734) 522-6470

Other names 2

  • Paul J. Misch Former legal business name
  • Paul J. Misch D.D.S. & David J. Gimmarro D.D.S. Former legal business name

National Provider Directory

National Provider Directory

Locations

8001 N Merriman Rd
Westland, MI 48185
Phone (734) 522-6470

Practitioners & affiliated clinicians

Practitioners 3

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": "1240358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742860800000",
    "number": "1689818692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8001 N MERRIMAN RD",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481851608",
            "telephone_number": "734-522-6470",
            "fax_number": "734-522-6937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8001 N MERRIMAN RD",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481851608",
            "telephone_number": "734-522-6470",
            "fax_number": "734-522-6937"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8001 N Merriman Rd",
            "address_purpose": "LOCATION",
            "city": "Westland",
            "state": "MI",
            "postal_code": "481851608",
            "country_code": "US",
            "telephone_number": "734-522-6470",
            "fax_number": "734-522-6937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DAVID J GIMMARRO, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-22",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A",
        "authorized_official_last_name": "GOSSMAN",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "734-522-6470"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MI",
            "license": "2901015423",
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": "019022356",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paul J. Misch",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Paul J. Misch",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Paul J. Misch D.D.S. & David J. Gimmarro D.D.S.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Westland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; 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.