MR. KEVIN L GASSER (NPI# 1164769253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164769253 |
Entity Type | Individual |
Full Name | MR. KEVIN L GASSER |
Credential | DDS |
Practice Address |
17220 N Boswell Blvd Suite 200 Sun City AZ 85373-2000 |
Practice Telephone | 6239728217 |
Practice Fax Number | 6239721406 |
Mailing Telephone | 6239728217 |
Mailing Fax Number | 6239721406 |
Enumeration Date | 2013-01-09 |
Last Update Date | 2014-12-03 |
NPI Deactivation Date | 07/01/2013 |
NPI Reactivation Date | 2013-10-31 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
BG0195366 | PA | Dental Providers |
Street Address |
17220 N BOSWELL BLVD SUITE 200 |
City | SUN CITY |
State | AZ |
Zip Code | 85373-2000 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164427167 | Eliza A Williamson | Family Medicine | 17220 N Boswell Blvd, Ste 202w., Sun City, AZ 85373-2000 | 2005-06-16 |
1043681034 | Sound Hearing Group | Durable Medical Equipment & Medical Supplies | 17220 N Boswell Blvd, Suite 117w, Sun City, AZ 85373-2000 | 2015-10-15 |
1316265242 | Vitality Health Group Inc | Family Medicine | 17220 N Boswell Blvd, Sun City, AZ 85373-2000 | 2010-05-17 |
1164750782 | Sankara Atman Sidat-singh | Family Medicine | 17220 N Boswell Blvd, Ste 202w, Sun City, AZ 85373-2000 | 2009-11-19 |
1417183674 | Pediatric Partners, LLC | Physical Therapist | 17220 N Boswell Blvd, Suite L200, Sun City, AZ 85373-2000 | 2009-06-02 |
1548421266 | Michael John Brunsman | General Practice | 17220 N Boswell Blvd, Suite 225 E, Sun City, AZ 85373-2000 | 2008-06-25 |
1841406857 | Trinity Angelyn Hudson | Speech-Language Pathologist | 17220 N Boswell Blvd, Ste L200, Sun City, AZ 85373 | 2007-05-15 |
1356555650 | Sara Elizabeth Keller | Physical Medicine & Rehabilitation | 17220 N Boswell Blvd, Ste L200, Sun City, AZ 85373 | 2007-05-09 |
1851510853 | Gasser Dental | Clinic/Center | 17220 N Boswell Blvd, 200, Sun City, AZ 85373-2000 | 2007-04-25 |
1952497182 | Georgeta Elena Mihailovici | Nurse Practitioner | 17220 N Boswell Blvd, Sun City, AZ 85373-2000 | 2006-10-05 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295372936 | Pacifica Sl Phoenix LLC | Assisted Living Facility | 17207 North Boswell Boulevard, Sun City, AZ 85373 | 2019-12-02 |
1427419894 | E&a Solutions | Clinic/Center | 24656 North Lake Pleasant Parkway, St 103-288, Peoria, AZ 85373 | 2016-03-14 |
1902010960 | Anna Paulette Baker | Counselor | 11846 W. Jessie Lane, Sun City, AZ 85373 | 2007-05-09 |
1699831412 | Josie Martinez | Respite Care | 11967 W. Villa Chula Ln., Sun City, AZ 85373 | 2006-12-28 |
1851693527 | Andoloris Medical, Pllc | Durable Medical Equipment & Medical Supplies | 10830 W Acacia Dr, Sun City, AZ 85373 | 2010-11-30 |
1851620272 | Joseph Curtis Kovacs | Emergency Medicine | 19812 N 99th Dr, Sun City, AZ 85373-1002 | 2009-12-14 |
1649808874 | Justin Ryan Schwarting | Nurse Practitioner | 19808 N Cherry Tree Ln, Sun City, AZ 85373-1022 | 2020-04-01 |
1548684301 | Kay Marie Brittingham | Occupational Therapist | 19601 N Welk Dr, Sun City, AZ 85373-1054 | 2014-02-13 |
1871785634 | Linda J. Stroud | Counselor | 19614 N Pine Springs Dr, Sun City, AZ 85373-1121 | 2007-08-15 |
1518260645 | Valley of The Sun Professional | Nurse Practitioner | 19630 N Willow Creek Cir, Sun City, AZ 85373-1234 | 2010-12-11 |
Find all providers in zip 85373 |
Taxonomy Code | 1223G0001X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | General Practice |
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
Notes: Source: Academy of General Dentistry |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568024834 | Hdp Mccaffrey Dental LLC | Dentist | 10147 Grand Ave Ste A-5, Sun City, AZ 85351-3435 | 2019-07-08 |
1326609843 | Hdp Fox Dental LLC | Dentist | 10147 Grand Ave Ste A-3, Sun City, AZ 85351-3435 | 2019-06-25 |
1922663673 | Hdp Sunridge Dental LLC | Dentist | 13830 W Camino Del Sol Ste 200, Sun City, AZ 85375-4746 | 2019-05-08 |
1467956730 | Jerry M. Burns Dds PC II | Dentist | 13404 N Del Webb Blvd, Sun City, AZ 85351-2750 | 2018-03-21 |
1578743753 | Ddl Dental | Dentist | 15416 N 99th Ave, Sun City, AZ 85351-1962 | 2007-11-06 |
1235346602 | Min Kyung Ku | Dentist | 29950 Haun Rd Ste 302, Sun City, CA 92586-6527 | 2007-05-16 |
1386858702 | Clara Patricia Fajardo | Dentist | 18818 N 99th Ave, Sun City, AZ 85373-1431 | 2007-05-09 |
1265655229 | Thavisab Noy Hatlavongsa | Dentist | 29798 Haun Rd Ste 306, Sun City, CA 92586-6542 | 2007-04-10 |
1205955903 | Martin J. Margetis | Dentist | 13624 N 99th Ave, Sun City, AZ 85351-2813 | 2007-03-27 |
1003957457 | H. Pourshirazi Dmd, Inc | Dentist | 27851 Bradley Rd Ste 155, Sun City, CA 92586-2244 | 2007-02-09 |
Find all providers in SUN CITY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.