Individual provider Active NPI

James G Gerweck, DMD

  • Dentist
  • Somersworth, NH
National Provider Identifier
1699961243
Registry record updated Oct 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
04531 Issued in NH
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

Updated by the provider on Oct 17, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221108000778 NH Practitioner - Dentist 8628380136

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10035COMDDentist
04531NHMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Seacoast Community Health Current Accepting new patients

Locations

311 Route 108
Somersworth, NH 03878
Phone (603) 422-8208

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.