Active NPI
Albert D Guckes, DDS, MSD
- Prosthodontics
- Chapel Hill, NC
National Provider Identifier
1588798755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 0012
- Practice address
- 101 Brauer Hall CB # 7450
Chapel Hill, NC 27599-7450 - Phone
- (919) 966-1221
- NPI assigned
- Mar 16, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 0012 | NC | Primary |
| Prosthodontics | 1223P0700X | DS016007L | PA |
Addresses
Primary practice location
101 Brauer Hall CB # 7450
Chapel Hill, NC 27599-7450
Mailing address
105 Muir LN
Chapel Hill, NC 27514-1452
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8993437 | Medicaid | NC |
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
| License | State | Type | Specialty |
|---|---|---|---|
| DS016007L | PA | MD | Prosthodontist |
| 0012 | NC | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dental Faculty Practice | Prosthodontics | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba UNC School of Dentistry
- Dentist
- Chapel Hill, NC
- NPI 1023044526
Prosthodontics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1588798755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 MUIR LN",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275141452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 BRAUER HALL CB # 7450",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275997450",
"telephone_number": "919-966-1221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUCKES",
"first_name": "ALBERT",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "DDS, MSD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "NC",
"license": "0012",
"primary": true
},
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "PA",
"license": "DS016007L",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8993437",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chapel Hill, NC
- Fang Gu
- Camillo Thomas Gualtieri, MD
- Guardian Angels Home Care of North Carolina LLC (Guardian Angels Home Care of North Carolina)
- Stefanie Jean Guarinello, RN
- Sharon Joann Guarino
- Thomas John Gudzik, PA-C
- Kennedy Kehaulani Guess, MA CCC-SLP
- Richard John Gugelmann, M.D.
- Lauriane Guichard, MD
- Jessica Leigh Guidici, MD
Sources for this page
- 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.