Roy Guster, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19014472 Issued in IL

Practice address

9524 S Halsted St
Chicago, IL 60628-1028

Phone

(773) 445-1009

Fax

(773) 445-6939

NPI assigned

May 8, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Dr Roy B Guster DDS PC

  • Dentist
  • Chicago, IL
  • NPI 1104360478
  NPD (past) Authorized official

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770796195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 436969",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606436969",
            "telephone_number": "773-445-1009",
            "fax_number": "773-445-6939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9524 S HALSTED ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606281028",
            "telephone_number": "773-445-1009",
            "fax_number": "773-445-6939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUSTER",
        "first_name": "ROY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "19014472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynn Gustafson, RD,LDN,CDE.
• Melissa Gustafson, LSW
• Carl Joseph Gustas Sr., DO
• Kristin A. R. Gustashaw, M.S., R.D., L.D.N.
• Emmanuel Gustave, PHARMD
• Cathleen Anne Gutekanst, APN
• Stephen Gutekanst Jr., PHARMD
• Chloe Gutenkauf, HIGH SCHOOL DIPLOMA
• Seth Guterman, M.D.
• Olivia Gutgsell, MD

• General Practice Dentistry in Chicago, IL
• Providers in Chicago, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.