Active NPI
Scott E. Gerard
- Endodontics
- Chesterfield, VA
National Provider Identifier
1780770313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 0401007068
- Practice address
- 9401 Courthouse Road
Suite 202
Chesterfield, VA 23832 - Phone
- (804) 796-1136
- Fax
- (804) 751-1836
- NPI assigned
- Oct 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 0401007068 | VA | Primary |
Addresses
Primary practice location
9401 Courthouse Road
Suite 202
Chesterfield, VA 23832
Mailing address
9401 Courthouse Road
Suite 202
Chesterfield, VA 23832
Phone (804) 796-1136
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9181617 | Other | VA | DORAL/SMILES FOR CHILDREN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160420000739 | VA | Order and Referring Only - Oral Surgery | 4587962865 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0401007068 | VA | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1780770313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9401 COURTHOUSE ROAD",
"address_2": "SUITE 202",
"city": "CHESTERFIELD",
"state": "VA",
"postal_code": "23832",
"telephone_number": "804-796-1136",
"fax_number": "804-751-1836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9401 COURTHOUSE ROAD",
"address_2": "SUITE 202",
"city": "CHESTERFIELD",
"state": "VA",
"postal_code": "23832",
"telephone_number": "804-796-1136",
"fax_number": "804-751-1836"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERARD",
"first_name": "SCOTT",
"middle_name": "E.",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "VA",
"license": "0401007068",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DORAL/SMILES FOR CHILDREN",
"identifier": "9181617",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chesterfield, VA
Sources for this page
- 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.