Jeffrey S Gorman DMD, Inc.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

46809 Issued in CA

Legal business name

JEFFREY S GORMAN DMD, INC.

Practice address

2569 West Shaw Avenue
Fresno, CA 93711-3312

Phone

(559) 449-1275

Fax

(559) 449-1282

NPI assigned

Mar 12, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Stephen Gorman, DMDNPI 1770604209

Title

Owner, Dentist

Phone

(559) 449-1275

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey Stephen Gorman, DMD

  • Dentist
  • Fresno, CA
  • NPI 1770604209
  NPD Authorized official
• Christopher William Bauer, DMD

  • Dentist
  • Fresno, CA
  • NPI 1265732531
  NPD (past)

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

{
    "created_epoch": "1236816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615766400000",
    "number": "1992946495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5646 N PALM SUITE 104",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937041848",
            "telephone_number": "559-449-1275",
            "fax_number": "559-449-1282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2569 WEST SHAW AVENUE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937113312",
            "telephone_number": "559-449-1275",
            "fax_number": "559-449-1282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY S GORMAN DMD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-12",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A",
        "authorized_official_last_name": "GORMAN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER, DENTIST",
        "authorized_official_telephone_number": "559-449-1275",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "46809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Ray Jeffcoach
• Krichele Allison Jeffcoach, PA-C
• Dynasia Jefferson
• Jeffery M Hubbard MD Inc
• Jeffrey K. Shinoda, Pharm.D., Inc.
• Jeffrey W. Flores Chiropractic Inc
• Randall Thomas Jeffries
• Angie Gisel Jegen Marin
• Rick J Jelmini, DR
• Loza H Jemjem, MD

• Dental Clinic/Center in Fresno, CA
• Providers in Fresno, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.