NPIMap

Organization Active NPI

Gustavo Jr Gasca DMD PLLC

  • General Practice Dentistry
  • Wilmington, NC
National Provider Identifier
1366101081
Registry record updated Feb 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
GUSTAVO JR GASCA DMD PLLC
Practice address
417 Arboretum Dr Ste 120
Wilmington, NC 28405-6305
Phone
(910) 616-7632
NPI assigned
Dec 9, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2022

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

Authorized official

Name
Dr. Gustavo Gasca Jr., DMDNPI 1407204449
Title
Dentist Owner
Phone
(910) 756-6006

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

417 Arboretum Dr Ste 120
Wilmington, NC 28405-6305

Mailing address

417 Arboretum Dr Ste 120
Wilmington, NC 28405-6305
Phone (910) 756-6006

National Provider Directory

National Provider Directory

Locations

417 Arboretum Dr
Ste 120
Wilmington, NC 28405
Phone (910) 616-7632

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1639008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643932800000",
    "number": "1366101081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 ARBORETUM DR STE 120",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284056305",
            "telephone_number": "910-756-6006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 ARBORETUM DR STE 120",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284056305",
            "telephone_number": "910-616-7632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUSTAVO JR GASCA DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-09",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A",
        "authorized_official_last_name": "GASCA",
        "authorized_official_first_name": "GUSTAVO",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "910-756-6006",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; 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.