Individual provider Active NPI

Emily Suzanne Gausman, DMD

  • General Practice Dentistry
  • Jamestown, NY
National Provider Identifier
1548389281
Registry record updated Nov 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
051038 Issued in NY
Practice address
405 N Main St
Jamestown, NY 14701-5007
Phone
(716) 664-7401
NPI assigned
Mar 27, 2007
Last updated
Nov 18, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 051038 NY Primary
General Practice Dentistry 1223G0001X DS035412 PA

Addresses

Primary practice location

405 N Main St
Jamestown, NY 14701-5007

Mailing address

405 N Main St
Jamestown, NY 14701-5007
Phone (716) 664-7401

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
051038NYMDGeneral Practice Dentistry
DS035412PAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416268800000",
    "number": "1548389281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 N MAIN ST",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147015007",
            "telephone_number": "716-664-7401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 N MAIN ST",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147015007",
            "telephone_number": "716-664-7401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUSMAN",
        "first_name": "EMILY",
        "middle_name": "SUZANNE",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2014-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "051038",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS035412",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamestown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.