Peter D. Gauger DDS PLLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DE 60216311 Issued in WA

Legal business name

PETER D. GAUGER DDS PLLC

Practice address

1550 S Union Ave Ste 250
Tacoma, WA 98405-1946

Phone

(253) 572-4601

Fax

(253) 572-4769

NPI assigned

Aug 21, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Peter David Gauger, DDSNPI 1730310426

Title

Owner

Phone

(253) 572-4601

Specialties & licenses 1

Addresses

Other names 1

• Tacoma Oral Surgery & Implants Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Peter David Gauger, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Olympia, WA
  • NPI 1730310426
  Medicare reassignment NPD Authorized official
• Mark David Carlson, MS DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Tacoma, WA
  • NPI 1083670780
  NPD (past)

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

{
    "created_epoch": "1408579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707350400000",
    "number": "1225437619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 S UNION AVE STE 250",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051946",
            "telephone_number": "253-572-4601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 S UNION AVE STE 250",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051946",
            "telephone_number": "253-572-4601",
            "fax_number": "253-572-4769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER D. GAUGER DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-21",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A",
        "authorized_official_last_name": "GAUGER",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-572-4601",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "WA",
            "license": "DE 60216311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tacoma Oral Surgery & Implants",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John David Perz, MSW
• Karen L Perz, PT
• Heather Nicole Pesce, LMHCA, SUDP
• Jennifer Rodriguez Pete, LMHC
• Nicolas Kyle Del Mundo Petelo
• Peter E. Krumins MD PS Inc
• H. Mignonne Peter, M.A. ABS
• Patricia Petermann, AUD
• Kimberly Peters-Poonkasem, LMP
• Angela Peters, MSW, MHP,

• Oral and Maxillofacial Surgery (Dentist) in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.