Gary Henry Wainwright, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

14747 Issued in MA

Practice address

380 Merrimack St
Suite#3E
Methuen, MA 01844-5870

Phone

(978) 685-2511

Fax

(978) 683-3985

NPI assigned

Jan 19, 2007

Last updated

Apr 6, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

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

State licenses

Practice roles

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.

• Mdsa LLC

  • Periodontics
  • Methuen, MA
  • NPI 1871839530
  Authorized official Same address or phone
• Pleasant Valley Dental Health, PC

  • General Practice Dentistry
  • Methuen, MA
  • NPI 1164433215
  NPD (past) Authorized official
• Pleasant Valley Dental Health PLLC

  • General Practice Dentistry
  • Methuen, MA
  • NPI 1568325223
  NPD (past)

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333670400000",
    "number": "1669525085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 MERRIMACK ST",
            "address_2": "SUITE#3E",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018445870",
            "telephone_number": "978-685-2511",
            "fax_number": "978-683-3985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 MERRIMACK ST",
            "address_2": "SUITE#3E",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018445870",
            "telephone_number": "978-685-2511",
            "fax_number": "978-683-3985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAINWRIGHT",
        "first_name": "GARY",
        "middle_name": "HENRY",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-19",
        "last_updated": "2012-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "14747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Vicente, LCSW
• Patrick T Villani, PH. D.
• Bao Quoc Vo
• Francesca Lynn Volante
• Panida Vyunskovskaya
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-3491)
• Walgreen Co (Walgreens #18342)
• Walgreen Co (Walgreens #05810)
• Walgreen Co (Walgreens #17486)
• Wendell Damyeon Wallace-Juedes, DPM

• General Practice Dentistry in Methuen, MA
• Providers in Methuen, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2012; 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.