Individual provider Active NPI

Alan H Gauchman, DDS

  • General Practice Dentistry
  • Sharon, MA
National Provider Identifier
1265446645
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12215 Issued in MA
Practice address
88 Pond St
Suite 2
Sharon, MA 02067
Phone
(781) 784-3880
Fax
(701) 784-3223
NPI assigned
Jul 28, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 12215 MA Primary

Addresses

Primary practice location

88 Pond St
Suite 2
Sharon, MA 02067

Mailing address

88 Pond St
Suite 2
Sharon, MA 02067
Phone (781) 784-3880

Other identifiers 2

IdentifierTypeStateIssuer
0261025MedicaidMA
X08002OtherBCBS OF MA

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

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265446645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 POND ST",
            "address_2": "SUITE 2",
            "city": "SHARON",
            "state": "MA",
            "postal_code": "02067",
            "telephone_number": "781-784-3880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 POND ST",
            "address_2": "SUITE 2",
            "city": "SHARON",
            "state": "MA",
            "postal_code": "02067",
            "telephone_number": "781-784-3880",
            "fax_number": "701-784-3223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUCHMAN",
        "first_name": "ALAN",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "12215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0261025",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MA",
            "identifier": "X08002",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sharon, MA

Sources for this page

  • 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.