Active NPI
Christos Gousias, DDS, MS
- Periodontics
- Fredericksburg, VA
National Provider Identifier
1033948757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 0401419010
- Practice address
- 609 Emancipation Hwy
Fredericksburg, VA 22401-4566 - Phone
- (540) 373-3066
- NPI assigned
- Jul 31, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 0401419010 | VA | Primary |
Addresses
Primary practice location
609 Emancipation Hwy
Fredericksburg, VA 22401-4566
Mailing address
1601 Ashford Cir Apt 315
Fredericksburg, VA 22401-5067
Phone (414) 229-8875
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0401419010 | VA | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761696000000",
"number": "1033948757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 ASHFORD CIR APT 315",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224015067",
"telephone_number": "414-229-8875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "609 EMANCIPATION HWY",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224014566",
"telephone_number": "540-373-3066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOUSIAS",
"first_name": "CHRISTOS",
"name_prefix": "Dr.",
"credential": "DDS, MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-07-31",
"last_updated": "2025-10-29",
"certification_date": "2025-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "VA",
"license": "0401419010",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fredericksburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.