Louise Gibson Dewhirst, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

047748-1 Issued in NY

Practice address

2 Maverick Rd
Woodstock, NY 12498-1714

Phone

(845) 679-2421

Fax

(845) 679-3235

NPI assigned

Aug 19, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 13, 2016 through Apr 13, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Schwartz & Patten, DDS, PC

  • General Practice Dentistry
  • Pleasant Valley, NY
  • NPI 1811005564
  NPD (past)
• Victoria a Sibalich Dental PLLC

  • General Practice Dentistry
  • Pleasant Valley, NY
  • NPI 1407707854
  NPD (past)

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255564800000",
    "number": "1104073485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 NORTH RD",
            "city": "TIVOLI",
            "state": "NY",
            "postal_code": "125835304",
            "telephone_number": "845-702-8133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MAVERICK RD",
            "city": "WOODSTOCK",
            "state": "NY",
            "postal_code": "124981714",
            "telephone_number": "845-679-2421",
            "fax_number": "845-679-3235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWHIRST",
        "first_name": "LOUISE",
        "middle_name": "GIBSON",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-19",
        "last_updated": "2009-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "047748-1",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "31017",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Thomas Degnan, PHARMD RPH
• Shane Michael Delameter, PTA
• Jeremy Scott Dengler, PHARMD
• Cindy R Dern, LCSW-R
• Courtney Deschenes, LCSW-R
• Arthur Anthony Dinapoli, MD
• Donn J. Wiedershine, M.D., P.C.
• Eugene Dougherty, P.A.
• Sarah Douglas
• Maria Y. Dubois, NP

• General Practice Dentistry in Woodstock, NY
• Providers in Woodstock, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.