Peter John Fauth, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

036711 Issued in NY

Practice address

2652 RT. 20 East
Cazenovia, NY 13035

Phone

(315) 655-8148

Fax

(315) 655-8168

NPI assigned

Dec 1, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225106990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2652 RT. 20 EAST",
            "city": "CAZENOVIA",
            "state": "NY",
            "postal_code": "13035",
            "telephone_number": "315-655-8148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2652 RT. 20 EAST",
            "city": "CAZENOVIA",
            "state": "NY",
            "postal_code": "13035",
            "telephone_number": "315-655-8148",
            "fax_number": "315-655-8168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAUTH",
        "first_name": "PETER",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "036711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Doscher Family Health NP PC
• Hannah Doscher, FNP-C
• Melissa Kaye Durfee, L.P.N.
• Ehsoc (Eyecare of CNY)
• Tammy Lee Erwin, FNP
• Jacqueline Navin Frazee, P.T.
• Melissa D Gale, L.AC. DIPL.AC.
• Kristine Galli, LPN
• Kathleen Susan Glow-Morgan, LCSW
• Nettie Goeler, M.A., CCC-SLP

• General Practice Dentistry in Cazenovia, NY
• Providers in Cazenovia, 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 Jul 8, 2007; 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.