Brendan C. Gouin, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

3047 Issued in RI

Practice address

4995 S County TRL
Charlestown, RI 02813-3182

Phone

(401) 364-6300

Fax

(401) 364-9190

NPI assigned

Jun 16, 2009

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 RI

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.

• Arrowhead Dental Associates

  • General Practice Dentistry
  • Charlestown, RI
  • NPI 1336142165
  NPD (past)
• Arrowhead Dental Association

  • General Practice Dentistry
  • Charlestown, RI
  • NPI 1710022371
  NPD (past)

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

{
    "created_epoch": "1245110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245110400000",
    "number": "1801023932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4995 S COUNTY TRL",
            "city": "CHARLESTOWN",
            "state": "RI",
            "postal_code": "028133182",
            "telephone_number": "401-364-6300",
            "fax_number": "401-364-9190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4995 S COUNTY TRL",
            "city": "CHARLESTOWN",
            "state": "RI",
            "postal_code": "028133182",
            "telephone_number": "401-364-6300",
            "fax_number": "401-364-9190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOUIN",
        "first_name": "BRENDAN",
        "middle_name": "C.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-16",
        "last_updated": "2009-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "RI",
            "license": "3047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Craig Warren Gaspard, LICSW
• Gateway Healthcare, Inc
• Rebecca Gessow, LICSW
• Romeo Ghraieb, DMD
• Kim Marie Gonzaga, LCDP
• Bruce D Gouin, D.M.D.
• Teresa W Greer, MD
• Jessica Harrison
• Sarah Hauser, LCSW
• Alexis G Heitman, LMHC, LCDP

• Dentist in Charlestown, RI
• Providers in Charlestown, RI by specialty
• Dentist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2009; 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.