Gerard J Essiambre, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11948 Issued in MI

Practice address

16661 21 Mile Rd
Macomb, MI 48044-2603

Phone

(586) 286-0500

Fax

(586) 286-6796

NPI assigned

Jul 27, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770507212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16661 21 MILE RD",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480442603",
            "telephone_number": "586-286-0500",
            "fax_number": "586-286-6796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16661 21 MILE RD",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480442603",
            "telephone_number": "586-286-0500",
            "fax_number": "586-286-6796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESSIAMBRE",
        "first_name": "GERARD",
        "middle_name": "J",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "11948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Nicole Elicone, PT, DPT
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• Ep Brieden (HealthWorks Chiropractic)
• Andrea Evangelista, MD
• Timothy Evangelista, RN
• Mark Henry Eveningred, M.P.T.
• Evermore Transportation
• Excellent Healthcare Supplies Inc

• General Practice Dentistry in Macomb, MI
• Providers in Macomb, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.