Wladimir Gedeon, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

00951 Issued in CT

Practice address

93 West St
Suite 5
Danbury, CT 06810-6525

Phone

(203) 744-1240

NPI assigned

Aug 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

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

Practice roles

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.

• Wladimir Gedeon DDS PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Danbury, CT
  • NPI 1568680346
  NPD (past) Authorized official
• Cranberry Dental Management Co., Inc.

  • Oral and Maxillofacial Surgery (Dentist)
  • Rochester, NY
  • NPI 1588843106
  NPD (past)
• Jolly M. Caplash, DMD, PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Rochester, NY
  • NPI 1255762670
  NPD (past)

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942212030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 WEST ST",
            "address_2": "SUITE 5",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068106525",
            "telephone_number": "203-744-1240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 WEST ST",
            "address_2": "SUITE 5",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068106525",
            "telephone_number": "203-744-1240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEDEON",
        "first_name": "WLADIMIR",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CT",
            "license": "00951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Denise Garrison, L.M.T.
• Bailey Ann Gartman, LCSW, AADC
• Nicole L. Garvey, BCBA
• Michael P Gazsi, ND
• Sarah E Geary, MSW
• Christopher M Geier, PA
• John Gelinas Jr., M.D.
• Yanisha Geller, M.S. CCC-SLP
• Gabriella Caroline Gellrich, M.D
• Liane Cynthia Gelman-Wegener

• Oral and Maxillofacial Surgery (Dentist) in Danbury, CT
• Providers in Danbury, CT by specialty
• Oral and Maxillofacial Surgery (Dentist) in Connecticut

• 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.