Individual provider Active NPI

Allan Robert Gemme, D.M.D.

  • General Practice Dentistry
  • Leominster, MA
National Provider Identifier
1780789040
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12938 Issued in MA
Practice address
28 Washington St
Leominster, MA 01453-3126
Phone
(978) 534-3595
NPI assigned
Sep 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 12938 MA Primary

Addresses

Primary practice location

28 Washington St
Leominster, MA 01453-3126

Mailing address

28 Washington St
Leominster, MA 01453-3126
Phone (978) 534-3595

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20150605001798 MA Order and Referring Only - DentistPractitioner - Dentist 5496076150

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12938MAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Revalex PLLC General Practice PastSince Feb 14, 2021 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780789040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 WASHINGTON ST",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014533126",
            "telephone_number": "978-534-3595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 WASHINGTON ST",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014533126",
            "telephone_number": "978-534-3595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEMME",
        "first_name": "ALLAN",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "12938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leominster, MA

Sources for this page

Verify at the official NPI Registry.