NPIMap

Organization Active NPI

Julie a Gum DMD PC

  • Dentist
  • Nazareth, PA
National Provider Identifier
1689116295
Registry record updated Nov 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS039590 Issued in PA
Legal business name
JULIE A GUM DMD PC
Practice address
150 S Green St
Nazareth, PA 18064-2011
Phone
(610) 746-0488
NPI assigned
Nov 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2016

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

Authorized official

Name
Dr. Julie A Gum, D.M.D.NPI 1588003412
Title
Dentist
Phone
(610) 746-0488

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DS039590 PA Primary

Addresses

Primary practice location

150 S Green St
Nazareth, PA 18064-2011

Mailing address

150 S Green St
Nazareth, PA 18064-2011
Phone (610) 746-0488

Other names 1

  • Green Street Dental Associates Doing business as

National Provider Directory

National Provider Directory

Locations

150 S Green St
Nazareth, PA 18064
Phone (610) 746-0488

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1479081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479081600000",
    "number": "1689116295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 S GREEN ST",
            "city": "NAZARETH",
            "state": "PA",
            "postal_code": "180642011",
            "telephone_number": "610-746-0488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 S GREEN ST",
            "city": "NAZARETH",
            "state": "PA",
            "postal_code": "180642011",
            "telephone_number": "610-746-0488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIE A GUM DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-14",
        "last_updated": "2016-11-14",
        "status": "A",
        "authorized_official_last_name": "GUM",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "610-746-0488",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS039590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Green Street Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nazareth, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2016; 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.