Active NPI
Dennis N Gusman, DPM
- Foot & Ankle Surgery Podiatrist
- Auburn, WA
National Provider Identifier
1780899195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- P000000393
- Practice address
- 202 N Division St
Suite 302
Auburn, WA 98001-4939 - Phone
- (253) 735-1478
- Fax
- (253) 735-5061
- NPI assigned
- May 11, 2007
- Last updated
- Dec 7, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | P000000393 | WA | Primary |
Addresses
Primary practice location
202 N Division St
Suite 302
Auburn, WA 98001-4939
Mailing address
202 N Division St
Suite 302
Auburn, WA 98001-4939
Phone (253) 735-1478
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1052570 | Medicaid | WA |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P000000393 | WA | MD | Foot & Ankle Surgery Podiatrist |
Interoperability endpoints
- dgusman1869@direct.multicare.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481068800000",
"number": "1780899195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 N DIVISION ST",
"address_2": "SUITE 302",
"city": "AUBURN",
"state": "WA",
"postal_code": "980014939",
"telephone_number": "253-735-1478",
"fax_number": "253-735-5061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 N DIVISION ST",
"address_2": "SUITE 302",
"city": "AUBURN",
"state": "WA",
"postal_code": "980014939",
"telephone_number": "253-735-1478",
"fax_number": "253-735-5061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUSMAN",
"first_name": "DENNIS",
"middle_name": "N",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-11",
"last_updated": "2016-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "WA",
"license": "P000000393",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1052570",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Auburn, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.