Individual provider Active NPI

Laura M Gushue, D.M.D.

  • Dentist
  • Lorain, OH
National Provider Identifier
1750355343
Registry record updated Dec 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
19711 Issued in OH
Practice address
1800 Livingston Ave
Lorain County Health and Dentistry
Lorain, OH 44052
Phone
(440) 233-0100
Fax
(440) 242-2400
NPI assigned
Feb 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 19711 OH Primary

Addresses

Primary practice location

1800 Livingston Ave
Lorain County Health and Dentistry
Lorain, OH 44052

Mailing address

6928 Ryan Rd
Medina, OH 44256-8878
Phone (330) 725-7488

Other identifiers 3

IdentifierTypeStateIssuer
3579OtherOHDORAL
341957404065OtherOHCARESOURE
0952689MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20160303002341 OH Order and Referring Only - DentistPractitioner - Dentist 3375849185

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19711OHMDDentist

Interoperability endpoints

  • Direct secure messaging: laura.gushuedmd.p11@direct.loraincountyhealth.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259625600000",
    "number": "1750355343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6928 RYAN RD",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442568878",
            "telephone_number": "330-725-7488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 LIVINGSTON AVE",
            "address_2": "LORAIN COUNTY HEALTH AND DENTISTRY",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "44052",
            "telephone_number": "440-233-0100",
            "fax_number": "440-242-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUSHUE",
        "first_name": "LAURA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-13",
        "last_updated": "2009-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "19711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORAL",
            "identifier": "3579",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURE",
            "identifier": "341957404065",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0952689",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lorain, OH

Sources for this page

Verify at the official NPI Registry.