Elizabeth K Gesenhues, DDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DN00012154 Issued in FL

Practice address

491 Prosperity Lake Dr
Suite 301
St Augustine, FL 32092-5045

Phone

(904) 429-0095

Fax

(904) 429-0238

NPI assigned

Aug 23, 2007

Last updated

May 27, 2014By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401148800000",
    "number": "1477746410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "491 PROSPERITY LAKE DR",
            "address_2": "SUITE 301",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320925045",
            "telephone_number": "904-429-0095",
            "fax_number": "904-429-0238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "491 PROSPERITY LAKE DR",
            "address_2": "SUITE 301",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320925045",
            "telephone_number": "904-429-0095",
            "fax_number": "904-429-0238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GESENHUES",
        "first_name": "ELIZABETH",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-23",
        "last_updated": "2014-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "FL",
            "license": "DN00012154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George S Tellam (Ankle & Foot Associates)
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• Jennifer Hargrave Geric, DMD
• Gerard Michael Gerling, MD
• Get Well, LLC
• Kathlene Louise Getsoian, DPT, MHS, NCS
• Girish Vasant Ghade, M.D
• Linda G Giacobbe, LCSW
• Amber Lynn Giannotta, BA

• Orthodontics and Dentofacial Orthopedics Dentistry in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2014; 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.