Robert James Gauthier Jr., D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

20814 Issued in MA

Practice address

82 W Main St
Northborough, MA 01532-1879

Phone

(508) 393-8819

Fax

(508) 351-6003

NPI assigned

Aug 21, 2006

Sex

Male

Sole proprietor

Yes

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 MA

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

State licenses

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366558587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 W MAIN ST",
            "city": "NORTHBOROUGH",
            "state": "MA",
            "postal_code": "015321879",
            "telephone_number": "508-393-8819",
            "fax_number": "508-351-6003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 W MAIN ST",
            "city": "NORTHBOROUGH",
            "state": "MA",
            "postal_code": "015321879",
            "telephone_number": "508-393-8819",
            "fax_number": "508-351-6003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUTHIER",
        "first_name": "ROBERT",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "20814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Gough Gagne, LICSW
• Michael John Gareau, PH.D.
• Jillian Mae Garofano-Staines, M.S.
• Nicole Garreffi
• Casey Ross Gauthier, D.C.
• Bruce C. Genga, CRNA
• Gabriell L Gereau, LMHC
• Melani Gerenia, LIC.AC.
• Katherine Ghyzel
• Kayla Gildea

• All providers in Northborough, MA
• General Practice Dentistry in Massachusetts

• 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.
• 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.