Jeffrey Scott Gawley, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

55808 Issued in CA

Practice address

10618 Combie Rd
Auburn, CA 95602-8916

Phone

(530) 268-0952

Fax

(833) 287-5368

NPI assigned

Jun 29, 2007

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jun 25, 2015 through Jun 25, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554768000000",
    "number": "1538366745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10618 COMBIE RD",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956028916",
            "telephone_number": "530-268-0952",
            "fax_number": "833-287-5368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10618 COMBIE RD",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956028916",
            "telephone_number": "530-268-0952",
            "fax_number": "833-287-5368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAWLEY",
        "first_name": "JEFFREY",
        "middle_name": "SCOTT",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-29",
        "last_updated": "2019-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "55808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Marlene Garrido
• Mark Garrison, RPH
• Alexis D Gaskin, M.D.
• Sandra Anne Gather, M.S., C.A.D.C.
• Dron Gauchan, M.D
• John William Geis Jr.
• Trisha Lee Gemulla, MBA, MS
• Kirsten Renee George, PA-C
• GHC of Auburn, LLC (Siena Nursing & Rehabilitation)
• GHC of Blue Oaks LLC (Siena Terraces)

• General Practice Dentistry in Auburn, CA
• Providers in Auburn, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2019; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.