DR. RICHARD PETER GANGWISCH D.D.S.
NPI 1255355145
Dentist - General Practice in Lilburn, GA

Q: What is Richard Gangwisch's NPI number?

The NPI number for Richard Gangwisch is 1255355145. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Q: What is Richard Gangwisch'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 Richard Gangwisch was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 July 26, 2006PECOS Enrolled

912 KILLIAN HILL RD SW, SUITE 100, LILBURN, GA 30047(770) 923-3966(770) 564-8617 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Richard Peter Gangwisch D.d.s. NPPES

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

DR. RICHARD PETER GANGWISCH D.D.S. (NPI 1255355145) is an individual general practice provider in Lilburn, Georgia, licensed in Georgia (DN008859) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255355145

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. RICHARD PETER GANGWISCHCredential: D.D.S.

Location Address912 KILLIAN HILL RD SW, SUITE 100Lilburn, GA 30047-3138

Mailing Address912 Killian Hill Rd Sw, Suite 100Lilburn, GA 30047-3138 · (770) 923-3966 · Fax (770) 564-8617

Phone(770) 923-3966

Fax(770) 564-8617

Sole ProprietorNo

Enumeration DateJuly 26, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1255355145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Licenses✔ Licensed in GA · DN008859✔ Licensed in OH · 30-015431

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.

912 KILLIAN HILL RD SW, Lilburn, GA 30047

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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. Richard Peter Gangwisch D.d.s. 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 30047 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

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$70.85 typical visit price

range $18.22 – $140.40

Typical copayment $17.71 (range $4.55 – $35.10)

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 6

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

LILBURN DENTAL GROUP, L.L.C.

Dentist (General Practice)

912 KILLIAN HILL RD SW, SUITE 100
LILBURN, GA 30047

Gwinnett County (770) 923-3966

GANGWISCH DENTAL GROUP, L.L.C.

Dentist

912 KILLIAN HILL RD SW, SUITE 100
LILBURN, GA 30047

Gwinnett County (770) 923-3966

SPEECH CARE SPECIALISTS, INC.

Speech-Language Pathologist

912 KILLIAN HILL RD SW, SUITE 103
LILBURN, GA 30047

Gwinnett County (770) 638-7200

MS. MICHOLE J ALLEN LCSW

Social Worker (Clinical)

912 KILLIAN HILL RD SW, SUITE 202-C
LILBURN, GA 30047

Gwinnett County (404) 626-5962

MARCIA B BASSETT M.ED. CCC-SLP

Speech-Language Pathologist

912 KILLIAN HILL RD SW, SUITE 103
LILBURN, GA 30047

Gwinnett County (770) 638-7200

CATHARINE WHITEHOUSE JUDD M.S., CCC-SLP

Speech-Language Pathologist

912 KILLIAN HILL RD SW, SUITE 103
LILBURN, GA 30047

Gwinnett County (770) 638-7200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Richard Gangwisch's NPI number?

The NPI number for Richard Gangwisch is 1255355145. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Where is Richard Gangwisch located?

Richard Gangwisch practices at 912 Killian Hill Rd SW Suite 100, Lilburn, GA 30047. The listed phone number is (770) 923-3966.

What is Richard Gangwisch's specialty?

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

Is Richard Gangwisch enrolled in Medicare?

Yes. Richard Gangwisch is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Richard Gangwisch was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.