DR. JACK G GORMAN DDS
NPI 1225328164
Dentist - General Practice in Citrus Heights, CA

Q: What is Jack Gorman's NPI number?

The NPI number for Jack Gorman is 1225328164. It was assigned to this individual provider in the NPPES registry on April 12, 2011.

Q: What is Jack Gorman's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Jack Gorman was last updated on April 12, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 12, 2011PECOS Enrolled

5899 SUNRISE BLVD, CITRUS HEIGHTS, CA 95610(916) 967-7766(916) 967-7779 Get Directions Write a Review

NPPES record last updated: April 12, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Jack G Gorman Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JACK G GORMAN DDS (NPI 1225328164) is an individual general practice provider in Citrus Heights, California, licensed in California (59761) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225328164

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. JACK G GORMANCredential: DDS

Location Address5899 SUNRISE BLVDCitrus Heights, CA 95610-6866

Mailing Address2860 Michelle Fl 2Irvine, CA 92606-1008 · (714) 368-2077 · Fax (714) 368-2092

Phone(916) 967-7766

Fax(916) 967-7779

Sole ProprietorNo

Enumeration DateApril 12, 2011

✔ NPI 1225328164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in CA · 59761

Definition

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.

5899 SUNRISE BLVD, Citrus Heights, CA 95610

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jack G Gorman Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95610 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$92.61 typical visit price

range $60.44 – $180.85

Typical copayment $23.15 (range $15.11 – $45.21)

Most-billed visit code 99203

Established Patient

$75.03 typical visit price

range $19.88 – $148.15

Typical copayment $18.75 (range $4.97 – $37.03)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NATIONAL VISION INC

Optometrist