Joseph Nihal Gunasekera II, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1001804 Issued in WI

Practice address

101 Oakridge CT Ste C
Watertown, WI 53094-4150

Phone

(920) 261-5400

NPI assigned

May 18, 2018

Sex

Male

Sole proprietor

No

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

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Health Partners of Western Ohio

  • Federally Qualified Health Center (FQHC)
  • Toledo, OH
  • NPI 1760952741
  Medicare reassignment NPD
• Health Partners of Western Ohio

  • Federally Qualified Health Center (FQHC)
  • Holland, OH
  • NPI 1396605481
  NPD
• Health Partners of Western Ohio

  • Federally Qualified Health Center (FQHC)
  • Lima, OH
  • NPI 1811932288
  NPD
• Oak Ridge Dental Clinic,SC

  • General Practice Dentistry
  • Watertown, WI
  • NPI 1104950336
  NPD (past)

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

{
    "created_epoch": "1526601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526601600000",
    "number": "1295226835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 OAKRIDGE CT STE C",
            "city": "WATERTOWN",
            "state": "WI",
            "postal_code": "530944150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 OAKRIDGE CT STE C",
            "city": "WATERTOWN",
            "state": "WI",
            "postal_code": "530944150",
            "telephone_number": "920-261-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNASEKERA",
        "first_name": "JOSEPH",
        "middle_name": "NIHAL",
        "name_suffix": "II",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-18",
        "last_updated": "2018-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "1001804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David J Groh, DDS
• Amanda Grosnick, CD, RD
• Philip M Grosnick, D.D.S.
• Cynthia Sue Grudzinski, PT
• Connie Gudenkauf
• Gymtastics, Inc
• Joanne Marie Haag, COTA
• Alisanne M. Haefner, SLP
• Kristin Elizabeth Hanington Erickson, PA-C
• Kathleen M Hargarten, MD

• General Practice Dentistry in Watertown, WI
• Providers in Watertown, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.