Active NPI
Gregory Guth, DDS
- Dentist
- Hamburg, NY
National Provider Identifier
1790474161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 064001
- Practice address
- 247 Buffalo St
Hamburg, NY 14075-5105 - Phone
- (716) 648-2600
- NPI assigned
- May 2, 2023
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 064001 | NY | Primary |
Addresses
Primary practice location
247 Buffalo St
Hamburg, NY 14075-5105
Mailing address
3549 Harlem Rd
Buffalo, NY 14225-1506
Phone (716) 517-1167
Other practice location 1
300 West Ave
Brockport, NY 14420-1118
Phone (585) 637-3905
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 064001 | NY | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733443200000",
"number": "1790474161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3549 HARLEM RD",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142251506",
"telephone_number": "716-517-1167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "247 BUFFALO ST",
"city": "HAMBURG",
"state": "NY",
"postal_code": "140755105",
"telephone_number": "716-648-2600"
}
],
"practiceLocations": [
{
"address_1": "300 West Ave",
"address_purpose": "LOCATION",
"city": "Brockport",
"state": "NY",
"postal_code": "144201118",
"country_code": "US",
"telephone_number": "585-637-3905",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUTH",
"first_name": "GREGORY",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-05-02",
"last_updated": "2024-12-06",
"certification_date": "2024-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "064001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hamburg, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.