Individual provider Active NPI

Alexander Douglas Gamber, DDS

  • Dentist
  • Kettering, OH
National Provider Identifier
1922263342
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30022783 Issued in OH
Practice address
3085 Woodman Dr Ste 150
Kettering, OH 45420-1189
Phone
(937) 258-2441
NPI assigned
Jul 24, 2008
Last updated
Oct 14, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30022783 OH Primary

Addresses

Primary practice location

3085 Woodman Dr Ste 150
Kettering, OH 45420-1189

Mailing address

3085 Woodman Dr Ste 150
Kettering, OH 45420-1189
Phone (937) 258-2441

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20161206000553 OH Order and Referring Only - DentistPractitioner - Dentist 6507146735

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30022783OHMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1216857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1922263342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3085 WOODMAN DR STE 150",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454201189",
            "telephone_number": "937-258-2441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3085 WOODMAN DR STE 150",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454201189",
            "telephone_number": "937-258-2441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMBER",
        "first_name": "ALEXANDER",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-24",
        "last_updated": "2024-10-14",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30022783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kettering, OH

Sources for this page

Verify at the official NPI Registry.