Active NPI
Mitchell Miles Gubler, D.D.S.
- Periodontics
- St George, UT
National Provider Identifier
1265788210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 9423392-9923
- Practice address
- 368 E Riverside Dr Ste 7
St George, UT 84790-7278 - Phone
- (435) 688-1344
- Fax
- (435) 688-1845
- NPI assigned
- Jul 27, 2012
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 9423392-9923 | UT | Primary |
Addresses
Primary practice location
368 E Riverside Dr Ste 7
St George, UT 84790-7278
Mailing address
794 Swiss Haven Cir
Santa Clara, UT 84765-5651
Phone (435) 669-6157
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 |
|---|---|---|---|
| 9423392-9923 | UT | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gubler Periodontics | Current | Accepting new patients |
Locations
368 E Riverside Dr
Ste 7
St George, UT 84790
Phone (435) 688-1344
Organizations & group practices 1
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.
-
- Dental Clinic/Center
- St George, UT
- NPI 1316643562
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442361600000",
"number": "1265788210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "794 SWISS HAVEN CIR",
"city": "SANTA CLARA",
"state": "UT",
"postal_code": "847655651",
"telephone_number": "435-669-6157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "368 E RIVERSIDE DR STE 7",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847907278",
"telephone_number": "435-688-1344",
"fax_number": "435-688-1845"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUBLER",
"first_name": "MITCHELL",
"middle_name": "MILES",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-27",
"last_updated": "2015-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "UT",
"license": "9423392-9923",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St George, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.