Active NPI
David Patrick Gugliano, DDS
- Dentist
- Coralville, IA
National Provider Identifier
1700291267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 09103
- Practice address
- 2781 Oakdale Blvd Ste 3
Coralville, IA 52241-9751 - Phone
- (319) 351-3414
- Fax
- (319) 665-2772
- NPI assigned
- Jun 24, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 09103 | IA | Primary |
Addresses
Primary practice location
2781 Oakdale Blvd Ste 3
Coralville, IA 52241-9751
Mailing address
2781 Oakdale Blvd Ste 3
Coralville, IA 52241-9751
Phone (319) 351-3414
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
| License | State | Type | Specialty |
|---|---|---|---|
| 09103 | IA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Next Gen Family Dental Practice | Current | Accepting new patients | |
| The Family Dental Center | Past | Accepting new patients |
Locations
2781 Oakdale Blvd
Ste 3
Coralville, IA 52241
Phone (319) 351-3414
Organizations & group practices 2
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.
-
dba The Family Dental Center
- General Practice Dentistry
- Coralville, IA
- NPI 1851229983
-
- General Practice Dentistry
- Coralville, IA
- NPI 1013174069
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403568000000",
"number": "1700291267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2781 OAKDALE BLVD STE 3",
"city": "CORALVILLE",
"state": "IA",
"postal_code": "522419751",
"telephone_number": "319-351-3414",
"fax_number": "319-665-2772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2781 OAKDALE BLVD STE 3",
"city": "CORALVILLE",
"state": "IA",
"postal_code": "522419751",
"telephone_number": "319-351-3414",
"fax_number": "319-665-2772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUGLIANO",
"first_name": "DAVID",
"middle_name": "PATRICK",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-24",
"last_updated": "2014-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IA",
"license": "09103",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coralville, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.