Charles C Guck, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

007296 Issued in CT

Practice address

201 Main Street North
Southbury, CT 06488-1804

Phone

(203) 264-8995

Fax

(203) 267-6477

NPI assigned

Jun 24, 2008

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 CT

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": "1214265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214265600000",
    "number": "1366603136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 MAIN STREET NORTH",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064881804",
            "telephone_number": "203-264-8995",
            "fax_number": "203-267-6477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 MAIN STREET NORTH",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064881804",
            "telephone_number": "203-264-8995",
            "fax_number": "203-267-6477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUCK",
        "first_name": "CHARLES",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-24",
        "last_updated": "2008-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CT",
            "license": "007296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard H Grayson, PH.D.
• Ariel Briana Greene
• Rachel Greenfield
• John Philip Gribbin Sr., RPH
• Justina Grubba
• Timothy Gugino, COTA
• Robert Gumbardo, MD
• Debra Gunnip, M.S.
• Servando Gutierrez, PA-C
• GV Medical Practice, LLC

• Dentist in Southbury, CT
• Providers in Southbury, CT by specialty
• Dentist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.