Active NPI
James G Gerweck, DMD
- Dentist
- Somersworth, NH
National Provider Identifier
1699961243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 04531
- Practice address
- 311 Route 108
Somersworth, NH 03878-1522 - Phone
- (603) 749-2346
- Fax
- (603) 953-0066
- NPI assigned
- Sep 18, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 10035 | CO | |
| Public Health Dentistry | 1223D0001X | 04531 | NH | |
| Dentist | 122300000X | 04531 | NH | Primary |
Addresses
Primary practice location
311 Route 108
Somersworth, NH 03878-1522
Mailing address
311 Route 108
Somersworth, NH 03878-1522
Phone (603) 749-2346
Other practice location 1
1635 Blue Spruce Dr
Fort Collins, CO 80524-5427
Phone (970) 494-4040
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221108000778 | NH | Practitioner - Dentist | 8628380136 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10035 | CO | MD | Dentist |
| 04531 | NH | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greater Seacoast Community Health | Current | Accepting new patients |
Locations
311 Route 108
Somersworth, NH 03878
Phone (603) 422-8208
Interoperability endpoints
- james.gerweck@sfhc.eclinicaldirectplus.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Goodwin Community Health
- Federally Qualified Health Center (FQHC)
- Somersworth, NH
- NPI 1578854287
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665964800000",
"number": "1699961243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 ROUTE 108",
"city": "SOMERSWORTH",
"state": "NH",
"postal_code": "038781522",
"telephone_number": "603-749-2346",
"fax_number": "603-953-0066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 ROUTE 108",
"city": "SOMERSWORTH",
"state": "NH",
"postal_code": "038781522",
"telephone_number": "603-749-2346",
"fax_number": "603-953-0066"
}
],
"practiceLocations": [
{
"address_1": "1635 Blue Spruce Dr",
"address_purpose": "LOCATION",
"city": "Fort Collins",
"state": "CO",
"postal_code": "805245427",
"country_code": "US",
"telephone_number": "970-494-4040",
"fax_number": "970-494-4050",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GERWECK",
"first_name": "JAMES",
"middle_name": "G",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-09-18",
"last_updated": "2022-10-17",
"certification_date": "2022-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CO",
"license": "10035",
"primary": false
},
{
"code": "1223D0001X",
"taxonomy_group": "",
"desc": "Dentist, Dental Public Health",
"state": "NH",
"license": "04531",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NH",
"license": "04531",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Somersworth, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.