Individual provider Active NPI

Anthony Gulde, D.D.S.

  • Dentist
  • Tavares, FL
National Provider Identifier
1619360930
Registry record updated Mar 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN15562 Issued in FL
Practice address
15820 Dora Ave
Tavares, FL 32778-4969
Phone
(352) 602-4235
NPI assigned
Mar 11, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN15562 FL Primary

Addresses

Primary practice location

15820 Dora Ave
Tavares, FL 32778-4969

Mailing address

1264 Deer Lake Cir
Apopka, FL 32712-2938
Phone (407) 399-9840

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
DN15562FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Anthony Gulde DDS PA 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1426032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426032000000",
    "number": "1619360930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1264 DEER LAKE CIR",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327122938",
            "telephone_number": "407-399-9840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15820 DORA AVE",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327784969",
            "telephone_number": "352-602-4235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GULDE",
        "first_name": "ANTHONY",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-11",
        "last_updated": "2015-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN15562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tavares, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2015; 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.