Peter David Gauger, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DE 60216311 Issued in WA

Practice address

3425 Ensign Rd NE
Suite 310
Olympia, WA 98506-5425

Phone

(360) 456-5678

Fax

(360) 456-1238

NPI assigned

Jul 29, 2009

Last updated

Jul 25, 2013By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Oral SurgeryAlso: Maxillofacial Surgery

Education

University of Washington School of Dentistry, 2009

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Peter D. Gauger DDS PLLC

  dba Tacoma Oral Surgery & Implants

  • Oral and Maxillofacial Surgery (Dentist)
  • Tacoma, WA
  • NPI 1225437619
  Medicare reassignment NPD Authorized official
• South Sound Ambulatory Surgery Center, PLLC

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Olympia, WA
  • NPI 1487183000
  NPD (past)
• South Sound Oral Surgery PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Olympia, WA
  • NPI 1407944614
  NPD (past)

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

{
    "created_epoch": "1248825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374710400000",
    "number": "1730310426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3425 ENSIGN RD NE",
            "address_2": "SUITE 310",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065425",
            "telephone_number": "360-456-5678",
            "fax_number": "360-456-1238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3425 ENSIGN RD NE",
            "address_2": "SUITE 310",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065425",
            "telephone_number": "360-456-5678",
            "fax_number": "360-456-1238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUGER",
        "first_name": "PETER",
        "middle_name": "DAVID",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-29",
        "last_updated": "2013-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "WA",
            "license": "DR 60096073",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "WA",
            "license": "DE 60216311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gastroenterology Associates, LLC (Gastroenterology Associates Endoscopy Center)
• Gastroenterology Associates, PLLC
• Faye A. Gatterman, LMP
• Dianna Lyn Gatto, PHARMD
• Jerry Lynn Gatton Jr.
• Lisa Lorraine Gaul, SUDPT
• Scott M Gaul, PA-C
• Arin Cole Gautreaux, LICSW, MSW, BS
• William A Gavin, MD
• Michelle Catherine Gaza

• Oral and Maxillofacial Surgery (Dentist) in Olympia, WA
• Providers in Olympia, WA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2013; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.