Active NPI
John Wallace Gunselman, DMD
- General Practice Dentistry
- Corning, NY
National Provider Identifier
1861690984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 031315
- 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
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 |
|---|---|---|---|---|
| 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.