Michael Allan Guberman, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

1269 Issued in NH

Practice address

69 Island St # G
Keene, NH 03431-3529

Phone

(603) 352-0272

NPI assigned

Aug 17, 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Keene Smiles PC

  • Dentist
  • Keene, NH
  • NPI 1457885287
  NPD (past)
• Noble Dental Care, PLLC

  • Dental Clinic/Center
  • Keene, NH
  • NPI 1730748146
  NPD (past)

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376656876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 ACREBROOK RD",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034311903",
            "telephone_number": "603-352-3325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 ISLAND ST # G",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034313529",
            "telephone_number": "603-352-0272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUBERMAN",
        "first_name": "MICHAEL",
        "middle_name": "ALLAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NH",
            "license": "1269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "99001679",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Rae Group, MD
• John Clayton Grover Jr., R.PH.
• Dennis Patrick Grusenmeyer, MD
• Robert Anthony Guardiano, D.O.
• Sherry Ann Guardiano, D.O.
• Lucinda C Guerra, M.D.
• Kaitlin Guildford
• Mattthew J Guiltinan, MD
• Maryam Gul, MD
• Christy Marie Gullage, FNP-BC

• Dentist in Keene, NH
• Providers in Keene, NH by specialty
• Dentist in New Hampshire

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.