Individual provider Active NPI

Gerald S Hirsch, DDS

  • General Practice Dentistry
  • Newburyport, MA
National Provider Identifier
1801913413
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12635 Issued in MA
Practice address
37 1 2 Forrester St
Professional Building
Newburyport, MA 01950
Phone
(978) 462-9611
Fax
(978) 463-1751
NPI assigned
Mar 26, 2007
Sex
Male
Sole proprietor
No

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 12635 MA Primary

Addresses

Primary practice location

37 1 2 Forrester St
Professional Building
Newburyport, MA 01950

Mailing address

37 1 2 Forrester St
Professional Building
Newburyport, MA 01950
Phone (978) 462-9611

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
I20150615001070 MA Order and Referring Only - DentistPractitioner - Dentist 0446561641

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12635MAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801913413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 1 2 FORRESTER ST",
            "address_2": "PROFESSIONAL BUILDING",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "01950",
            "telephone_number": "978-462-9611",
            "fax_number": "978-463-1751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 1 2 FORRESTER ST",
            "address_2": "PROFESSIONAL BUILDING",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "01950",
            "telephone_number": "978-462-9611",
            "fax_number": "978-463-1751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIRSCH",
        "first_name": "GERALD",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "12635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburyport, MA

Sources for this page

Verify at the official NPI Registry.