Active NPI
Craig William Gaugh, D.D.S.
- Dentist
- Blue Earth, MN
National Provider Identifier
1851314181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D12995
- Practice address
- 109 N Main St
Blue Earth, MN 56013-1960 - Phone
- (507) 526-3111
- Fax
- (507) 526-3140
- NPI assigned
- Jul 26, 2006
- Last updated
- Jan 20, 2012
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | D12995 | MN | Primary |
Addresses
Primary practice location
109 N Main St
Blue Earth, MN 56013-1960
Mailing address
PO Box 425
Blue Earth, MN 56013-0425
Phone (507) 526-3111
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 |
|---|---|---|---|
| D12995 | MN | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John D. Sawyer D.D.S | Dentist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dentist
- Blue Earth, MN
- NPI 1215222963
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327017600000",
"number": "1851314181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 425",
"city": "BLUE EARTH",
"state": "MN",
"postal_code": "560130425",
"telephone_number": "507-526-3111",
"fax_number": "507-526-3140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 N MAIN ST",
"city": "BLUE EARTH",
"state": "MN",
"postal_code": "560131960",
"telephone_number": "507-526-3111",
"fax_number": "507-526-3140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAUGH",
"first_name": "CRAIG",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2012-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MN",
"license": "D12995",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Blue Earth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.