Organization Active NPI

Altschuler Periodontic and Implant Center, PA

  • Periodontics
  • Gainesville, FL
National Provider Identifier
1770616856
Registry record updated Nov 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
DN12257 Issued in FL
Legal business name
ALTSCHULER PERIODONTIC AND IMPLANT CENTER, PA
Practice address
2251 NW 41St St
Suite F
Gainesville, FL 32606-7498
Phone
(352) 371-4141
Fax
(352) 371-4169
NPI assigned
Mar 14, 2007
Last updated
Nov 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2008

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

Authorized official

Name
Dr. Gary I Altschuler, DMDNPI 1013925502
Title
President
Phone
(352) 371-4141

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
Periodontics 1223P0300X DN12257 FL Primary

Addresses

Primary practice location

2251 NW 41St St
Suite F
Gainesville, FL 32606-7498

Mailing address

2251 NW 41St St
Suite F
Gainesville, FL 32606-7498
Phone (352) 371-4141

National Provider Directory

National Provider Directory

Locations

2251 NW 41st St
Ste F
Gainesville, FL 32606
Phone (352) 371-4141

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226361600000",
    "number": "1770616856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2251 NW 41ST ST",
            "address_2": "SUITE F",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326067498",
            "telephone_number": "352-371-4141",
            "fax_number": "352-371-4169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2251 NW 41ST ST",
            "address_2": "SUITE F",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326067498",
            "telephone_number": "352-371-4141",
            "fax_number": "352-371-4169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTSCHULER PERIODONTIC AND IMPLANT CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2008-11-11",
        "status": "A",
        "authorized_official_last_name": "ALTSCHULER",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-371-4141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "DN12257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2008; 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.