Individual provider Active NPI

John Wallace Gunselman, DMD

  • General Practice Dentistry
  • Corning, NY
National Provider Identifier
1861690984
Registry record updated Jul 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
031315 Issued in NY
Practice address
218 Denison Pkwy E
Suite 201
Corning, NY 14830-2813
Phone
(607) 937-5341
Fax
(607) 937-5344
NPI assigned
Jul 10, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 031315 NY Primary

Addresses

Primary practice location

218 Denison Pkwy E
Suite 201
Corning, NY 14830-2813

Mailing address

218 Denison Pkwy E
Suite 201
Corning, NY 14830-2813
Phone (607) 937-5341

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

NPI Registry JSON

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184025600000",
    "number": "1861690984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 DENISON PKWY E",
            "address_2": "SUITE 201",
            "city": "CORNING",
            "state": "NY",
            "postal_code": "148302813",
            "telephone_number": "607-937-5341",
            "fax_number": "607-937-5344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 DENISON PKWY E",
            "address_2": "SUITE 201",
            "city": "CORNING",
            "state": "NY",
            "postal_code": "148302813",
            "telephone_number": "607-937-5341",
            "fax_number": "607-937-5344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNSELMAN",
        "first_name": "JOHN",
        "middle_name": "WALLACE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-10",
        "last_updated": "2007-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "031315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corning, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.