NPIMap

Organization Active NPI

Gleneagles Dental P.C.

Doing business as Gleneagles Dental

  • Dentist
  • Carrollton, TX
National Provider Identifier
1750623880
Registry record updated Feb 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
18119 Issued in TX
Legal business name
GLENEAGLES DENTAL P.C.
Doing business as
Gleneagles Dental
Practice address
4300 N. Josey LN.
Suite 108
Carrollton, TX 75010
Phone
(469) 900-8153
Fax
(469) 900-8156
NPI assigned
Mar 27, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2023

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

Authorized official

Name
Dr. David Scott Gerkin, DDSNPI 1063537694
Title
Dentist/Owner
Phone
(214) 564-7253

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 18119 TX Primary

Addresses

Primary practice location

4300 N. Josey LN.
Suite 108
Carrollton, TX 75010

Mailing address

4300 N. Josey LN.
Suite 108
Carrollton, TX 75010
Phone (469) 900-8153

Other names 1

  • Gleneagles Dental Doing business as

National Provider Directory

National Provider Directory

Locations

4300 N Josey Ln
Ste 108
Carrollton, TX 75010
Phone (469) 900-8153

5824 W Plano Pkwy
Ste 103
Plano, TX 75093

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1364342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675641600000",
    "number": "1750623880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 N. JOSEY LN.",
            "address_2": "SUITE 108",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "75010",
            "telephone_number": "469-900-8153",
            "fax_number": "469-900-8156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 N. JOSEY LN.",
            "address_2": "SUITE 108",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "75010",
            "telephone_number": "469-900-8153",
            "fax_number": "469-900-8156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENEAGLES DENTAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-27",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A",
        "authorized_official_last_name": "GERKIN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "214-564-7253",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "18119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gleneagles Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Gleneagles Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carrollton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; 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.