Justin Gee, DMD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

56163 Issued in CA

Practice address

55 Mission Cir
Ste 101
Santa Rosa, CA 95409-5398

Phone

(707) 537-0550

Fax

(707) 537-0660

NPI assigned

Nov 14, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299628800000",
    "number": "1619049012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 MISSION CIR",
            "address_2": "STE 101",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954095398",
            "telephone_number": "707-537-0550",
            "fax_number": "707-537-0660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 MISSION CIR",
            "address_2": "STE 101",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954095398",
            "telephone_number": "707-537-0550",
            "fax_number": "707-537-0660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEE",
        "first_name": "JUSTIN",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2011-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "21231",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "56163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eileen Gayle, B.S.
• Bruce David Gaynor, MD
• William Michael Gayowski, MFT
• Haileyesus Gebrehiwot
• Selamawit Tekie Gebrezghi, FNP
• Averie Rose Gehrett
• Jeffery Gehring
• Annalise Claire Gehrke
• Jane Gehrke, LMFT
• Aarica Geitner

• Periodontics in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Periodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2011; 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.