Jeffrey Raymond Gudowicz, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

RES.004347 Issued in OH

Practice address

4071 Lee Rd Ste 260
Cleveland, OH 44128-2173

Phone

(216) 727-0234

NPI assigned

Jun 5, 2021

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 OH

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

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

{
    "created_epoch": "1622851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622851200000",
    "number": "1861069247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9131 BERNWOOD CT",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440607349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4071 LEE RD STE 260",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441282173",
            "telephone_number": "216-727-0234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUDOWICZ",
        "first_name": "JEFFREY",
        "middle_name": "RAYMOND",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-05",
        "last_updated": "2021-06-05",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "RES.004347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rose A Gubitosi-Klug, MD
• Shawna Gudalis
• Vaishnavi Guddeti
• Michelle Guddy, PT
• Kelley N. Gudel, M.A., CCC-SLP
• Stefan Gudz, PA-C
• Wendy R Gue
• Bianca Guedes Ribeiro
• Miguel Andres Guelfand, MD
• Darinka Guenther, FNP

• General Practice Dentistry in Cleveland, OH
• Providers in Cleveland, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2021; 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.