Individual provider Active NPI

James F Gustainis, D.M.D

  • Oral and Maxillofacial Surgery (Dentist)
  • West Chester, PA
National Provider Identifier
1093795080
Registry record updated Apr 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DS020955L Issued in PA
Practice address
600 E Marshall St Ste 106
West Chester, PA 19380-4443
Phone
(610) 431-2161
Fax
(610) 431-2173
NPI assigned
Jan 18, 2006
Last updated
Apr 7, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DS020955L PA Primary

Addresses

Primary practice location

600 E Marshall St Ste 106
West Chester, PA 19380-4443

Mailing address

600 E Marshall St
Suite 106
West Chester, PA 19380-4441
Phone (610) 431-2161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050624000548 PA Practitioner - Oral SurgeryPractitioner - Maxillofacial Surgery 3870538358

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649289600000",
    "number": "1093795080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E MARSHALL ST",
            "address_2": "SUITE 106",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193804441",
            "telephone_number": "610-431-2161",
            "fax_number": "610-431-2173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E MARSHALL ST STE 106",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193804443",
            "telephone_number": "610-431-2161",
            "fax_number": "610-431-2173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUSTAINIS",
        "first_name": "JAMES",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-18",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "DS020955L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, PA

Sources for this page

Verify at the official NPI Registry.