Individual provider Active NPI

Gina Marie Rakosky Ober, DMD

  • General Practice Dentistry
  • California, PA
National Provider Identifier
1760558282
Registry record updated Jan 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS031328L Issued in PA
Practice address
144 3Rd St
California, PA 15419-1130
Phone
(724) 938-7101
Fax
(724) 938-8467
NPI assigned
Nov 27, 2006
Last updated
Jan 6, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS031328L PA Primary

Addresses

Primary practice location

144 3Rd St
California, PA 15419-1130

Mailing address

1108 Fayette Avenue
Belle Vernon, PA 15012
Phone (724) 929-3368

Other names 1

  • Dr. Gina Marie Pagac Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151009000585 PA Order and Referring Only - DentistPractitioner - Dentist 0345558490

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS031328LPAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
DRS Belasco Ober & Associates PC General Practice Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: gina.rakoskyober.d1.p10@direct.360care.nextgenshare.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": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420502400000",
    "number": "1760558282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 FAYETTE AVENUE",
            "city": "BELLE VERNON",
            "state": "PA",
            "postal_code": "15012",
            "telephone_number": "724-929-3368",
            "fax_number": "724-929-3467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 3RD ST",
            "city": "CALIFORNIA",
            "state": "PA",
            "postal_code": "154191130",
            "telephone_number": "724-938-7101",
            "fax_number": "724-938-8467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAKOSKY OBER",
        "first_name": "GINA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-27",
        "last_updated": "2015-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS031328L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GINA",
            "last_name": "PAGAC",
            "middle_name": "MARIE",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in California, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.