Individual provider Active NPI

Aaron Gause, DDS

  • Dentist
  • Wright Patterson Afb, OH
National Provider Identifier
1629489901
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
16628 Issued in MD
Practice address
4881 Sugar Maple Dr
Wright Patterson Afb, OH 45433-5529
Phone
(937) 656-9777
NPI assigned
May 8, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X DH20333 FL
Dentist 122300000X 16628 MD Primary

Addresses

Primary practice location

4881 Sugar Maple Dr
Wright Patterson Afb, OH 45433-5529

Mailing address

2510 5TH St BLDG 840
Wright Patterson Afb, OH 45433-7951
Phone (937) 656-9777

Other practice location 1

77 Nealy Avenue
633d Medical Group
Joint Base Langley-Eustis, VA 23665-2040
Phone (757) 225-7630

Other practice location 2

PSC 94
Incirlik Air Base, Incirlik Air Base 09824
TR
Phone (716) 392-9430

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
DH20333FLMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1399507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1629489901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 5TH ST BLDG 840",
            "city": "WRIGHT PATTERSON AFB",
            "state": "OH",
            "postal_code": "454337951",
            "telephone_number": "937-656-9777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4881 SUGAR MAPLE DR",
            "city": "WRIGHT PATTERSON AFB",
            "state": "OH",
            "postal_code": "454335529",
            "telephone_number": "937-656-9777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "77 Nealy Avenue",
            "address_2": "633d Medical Group",
            "address_purpose": "LOCATION",
            "city": "Joint Base Langley-Eustis",
            "state": "VA",
            "postal_code": "236652040",
            "country_code": "US",
            "telephone_number": "757-225-7630",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "PSC 94",
            "address_purpose": "LOCATION",
            "city": "Incirlik Air Base",
            "state": "Incirlik Air Base",
            "postal_code": "09824",
            "country_code": "TR",
            "telephone_number": "716-392-9430",
            "country_name": "Turkey",
            "address_type": "FGN"
        }
    ],
    "basic": {
        "last_name": "GAUSE",
        "first_name": "AARON",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-08",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "FL",
            "license": "DH20333",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "16628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wright Patterson Afb, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; 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.