Gateway Oral Surgery

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

GATEWAY ORAL SURGERY

Doing business as

Gateway Oral Surgery

Practice address

180 Capulet Dr Ste 3
Saint Augustine, FL 32092-4541

Phone

(904) 299-2942

Fax

(904) 299-2943

NPI assigned

Nov 4, 2024

Last updated

Feb 12, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Roger Myers, DMDNPI 1962518829

Title

Owner

Phone

(904) 200-4375

Specialties & licenses 1

Addresses

Other names 1

• Gateway Oral Surgery Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Roger Lee Myers, D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • St Augustine, FL
  • NPI 1962518829
  NPD Authorized official

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

{
    "created_epoch": "1730678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739318400000",
    "number": "1073336483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 CAPULET DR STE 3",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320924541",
            "telephone_number": "904-299-2942",
            "fax_number": "904-299-2943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 CAPULET DR STE 3",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320924541",
            "telephone_number": "904-299-2942",
            "fax_number": "904-299-2943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY ORAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-04",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-200-4375",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gateway Oral Surgery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Gateway Oral Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stanford Curtis Garrett, LMHC
• Clayton Tyler Garza
• Melissa Hope Gass
• Daniel J Gassert, M.D.
• Gastroenterology Associates of St Augustine, PA
• Emily Gatta
• Janelle Gay-Levy
• Britney Lee Geiger, RN
• Erica Lee Geisel, BCBA
• Katrina Shanell General, APRN

• Oral and Maxillofacial Surgery (Dentist) in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Oral and Maxillofacial Surgery (Dentist) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.

Verify at the official NPI Registry.