Harold Vernon Gerlach, DMD – Dentist

Key facts

NPI: 1962493726
Entity type: Individual (NPI type 1)
Primary specialty: Dentist 122300000X
License: 5353FEPY710 (KY)
Practice address: 210 W Woodlawn Ave
Louisville, KY 40214-1922
Phone: (502) 368-5529
Fax: (502) 368-5529
NPI assigned: Nov 2, 2005
Sex: Male
Sole proprietor: No

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.

Gerlach Family Dentistry PSC General Practice Dentistry · Louisville, KY · NPI 1043447014

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
5353FEPY710	KY	MD	Dentist

Practice roles

Organization	Specialty	Status	New patients
Gerlach Family Dentistry PSC		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Dentist	122300000X	5353FEPY710	KY	Yes

Addresses

Primary practice location

210 W Woodlawn Ave
Louisville, KY 40214-1922

Mailing address

210 W Woodlawn Ave
Louisville, KY 40214-1922
Phone (502) 368-5529

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962493726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 W WOODLAWN AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402141922",
            "telephone_number": "502-368-5529",
            "fax_number": "502-368-5529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 W WOODLAWN AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402141922",
            "telephone_number": "502-368-5529",
            "fax_number": "502-368-5529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERLACH",
        "first_name": "HAROLD",
        "middle_name": "VERNON",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "5353FEPY710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

All providers in Louisville, KY · Dentist in Kentucky

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.