Active NPI
Greg Gaston Erramouspe, D.D.S.
- General Practice Dentistry
- Rock Springs, WY
National Provider Identifier
1235309402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 948
- Practice address
- 550 Broadway St
Rock Springs, WY 82901-6346 - Phone
- (307) 362-3121
- Fax
- (307) 362-1163
- NPI assigned
- Mar 4, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 948 | WY | Primary |
Addresses
Primary practice location
550 Broadway St
Rock Springs, WY 82901-6346
Mailing address
550 Broadway St
Rock Springs, WY 82901-6346
Phone (307) 362-3121
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 948 | WY | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204588800000",
"number": "1235309402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 BROADWAY ST",
"city": "ROCK SPRINGS",
"state": "WY",
"postal_code": "829016346",
"telephone_number": "307-362-3121",
"fax_number": "307-362-1163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 BROADWAY ST",
"city": "ROCK SPRINGS",
"state": "WY",
"postal_code": "829016346",
"telephone_number": "307-362-3121",
"fax_number": "307-362-1163"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERRAMOUSPE",
"first_name": "GREG",
"middle_name": "GASTON",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-03-04",
"last_updated": "2008-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WY",
"license": "948",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rock Springs, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.