Individual provider Active NPI

Stephen Henry Guss, DDS

  • Dentist
  • Fairfield, CT
National Provider Identifier
1619030715
Registry record updated May 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4389 Issued in CT
Practice address
1275 Post Rd
Suite 201
Fairfield, CT 06824-6015
Phone
(203) 255-6878
NPI assigned
Dec 19, 2006
Reactivated
May 22, 2012
Last updated
May 22, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 4389 CT Primary

Addresses

Primary practice location

1275 Post Rd
Suite 201
Fairfield, CT 06824-6015

Mailing address

1275 Post Rd
Suite 201
Fairfield, CT 06824-6015
Phone (203) 255-6878

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cosmetic and Reconstructive Dentistry Associates, P.C. 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.

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337644800000",
    "number": "1619030715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 POST RD",
            "address_2": "SUITE 201",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068246015",
            "telephone_number": "203-255-6878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 POST RD",
            "address_2": "SUITE 201",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068246015",
            "telephone_number": "203-255-6878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUSS",
        "first_name": "STEPHEN",
        "middle_name": "HENRY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2012-05-22",
        "deactivation_date": "2007-01-25",
        "reactivation_date": "2012-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CT",
            "license": "4389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2012; 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.