Russell H Gertsch DDS, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019-015925 Issued in IL

Legal business name

RUSSELL H GERTSCH DDS, PC

Practice address

4343 Sauk TRL
Richton Park, IL 60471-1254

Phone

(708) 748-8181

Fax

(708) 748-6002

NPI assigned

Jan 9, 2009

Last updated

Jan 9, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Russell Hayward Gertsch, D.D.S.NPI 1841317906

Title

President

Phone

(708) 748-8181

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Russell Hayward Gertsch, D.D.S.

  • Dentist
  • Richton Park, IL
  • NPI 1841317906
  NPD (past) Authorized official
• Robert B Smith, D.D.S.

  • General Practice Dentistry
  • Richton Park, IL
  • NPI 1750573317
  NPD (past)

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

{
    "created_epoch": "1231459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231459200000",
    "number": "1740427954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4343 SAUK TRL",
            "city": "RICHTON PARK",
            "state": "IL",
            "postal_code": "604711254",
            "telephone_number": "708-748-8181",
            "fax_number": "708-748-6002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4343 SAUK TRL",
            "city": "RICHTON PARK",
            "state": "IL",
            "postal_code": "604711254",
            "telephone_number": "708-748-8181",
            "fax_number": "708-748-6002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL H GERTSCH DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-09",
        "last_updated": "2009-01-09",
        "status": "A",
        "authorized_official_last_name": "GERTSCH",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "HAYWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-748-8181",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019-015925",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF ILLINOIS DENTAL LICENSE",
            "identifier": "019-015925",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Herliscia Roberts
• Andrea Robinson, LCSW
• Donielle Robinson, LCSW
• Romland Healthcare, Inc.
• Maria Rounds, REGISTERED NURSE
• Rway Transportation Inc
• Katrina Cheree Sanders
• Sauk Trail Dental Care
• Jennifer Scharping, LCSW
• Crystal Seals, LSW

• General Practice Dentistry in Richton Park, IL
• Providers in Richton Park, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2009; 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.