Tushara L Gunatilaka, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7626 Issued in AZ

Practice address

2918 W Ina Rd Ste 100
Tucson, AZ 85741-2429

Phone

(520) 822-4026

NPI assigned

Aug 12, 2008

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

Enrolled in AZ

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": "1218499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539561600000",
    "number": "1548416357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2918 W INA RD STE 100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857412429",
            "telephone_number": "520-822-4026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2918 W INA RD STE 100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857412429",
            "telephone_number": "520-822-4026"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 Industrial Rd",
            "address_2": "Low Country Pediatric Dentistry",
            "address_purpose": "LOCATION",
            "city": "Darlington",
            "state": "SC",
            "postal_code": "29532",
            "country_code": "US",
            "telephone_number": "843-664-8709",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUNATILAKA",
        "first_name": "TUSHARA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-12",
        "last_updated": "2018-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "7626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jazilyn Gulotta, RN
• Rhodelia Jane Gumangan, D.D.S.
• Colleen Anne Gumm, NP
• Elisa Nicole Gumm, DO
• Heidi Anderson Gummel, COTA/L
• Kaleigh Gundersen, LPN
• Brent D Gunderson
• Erika Gundrey, FNP-C
• Charlene A Gundry, NP-C
• Ahmet Gunkan, MD

• General Practice Dentistry in Tucson, AZ
• Providers in Tucson, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2018; 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.