Gordon Palmer Huntress, DDS

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

AH6787583 Issued in OH

Practice address

222 Piedmont Ave
Suite 8300
Cincinnati, OH 45219

Phone

(513) 475-7991

Fax

(513) 475-7996

NPI assigned

Sep 6, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Kathleen M Bennett DDS LLC

  • Customized Equipment (DME)
  • Cincinnati, OH
  • NPI 1750668992
  NPD (past)

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477267200000",
    "number": "1710080718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 PIEDMONT AVE",
            "address_2": "SUITE 8300",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45219",
            "telephone_number": "513-475-7991",
            "fax_number": "513-475-7996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 PIEDMONT AVE",
            "address_2": "SUITE 8300",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45219",
            "telephone_number": "513-475-7991",
            "fax_number": "513-475-7996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNTRESS",
        "first_name": "GORDON",
        "middle_name": "PALMER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2016-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "OH",
            "license": "AH6787583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0243758",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelci Dixon Huntington, BSN, IBCLC
• Antionette Huntley, QBHS
• Darielle Angel Huntley
• Kenita Sherrie Huntley
• Andrew Douglas Huntoon, RN; PMHNP-BC
• Linda M Huntress, PHD
• Amber Huntzinger, LSW
• Dayna Huot
• Jill S Huppert, M.D.
• Robert Edward Hurd, M.D.

• Prosthodontics in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Prosthodontics in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2016; 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.