Richard Alan Gonsman, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

021720 Issued in PA

Practice address

320 Blair St
Hollidaysburg, PA 16648-1804

Phone

(814) 696-3354

Fax

(814) 696-0560

NPI assigned

Jun 22, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Richard Alan Gonsman Professional name

Medicare fee-for-service enrollment

Enrolled in PA

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": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902842206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 BLAIR ST",
            "city": "HOLLIDAYSBURG",
            "state": "PA",
            "postal_code": "166481804",
            "telephone_number": "814-696-3354",
            "fax_number": "814-696-0560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 BLAIR ST",
            "city": "HOLLIDAYSBURG",
            "state": "PA",
            "postal_code": "166481804",
            "telephone_number": "814-696-3354",
            "fax_number": "814-696-0560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONSMAN",
        "first_name": "RICHARD",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "021720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RICHARD",
            "last_name": "GONSMAN",
            "middle_name": "ALAN",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Mary Ellen Carrigan Gerraughty, M. ED CCC/SP
• Giant Eagle, Inc
• Corey Patrick Gildea
• Ellyn M Gildea
• Brandon Gillie
• Julianne Marie Graboski, PHD, APRN, BC
• Naomi N Granville, MOT, OTR
• Brooke R Grassmyer, MSN,APRN,FNP-C
• Casey Gray
• Mary Christina Green, LICENSED PROFESSIONA

• General Practice Dentistry in Hollidaysburg, PA
• Providers in Hollidaysburg, PA by specialty
• General Practice Dentistry in Pennsylvania

• 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.