Active NPI
Bernard Georges Gantes, D.D.S., M.S.
- Periodontics
- Seal Beach, CA
National Provider Identifier
1902242019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 032305
- Practice address
- 2999 Westminster, Suite 108
Seal Beach, CA 90740 - Phone
- (562) 431-9739
- Fax
- (562) 683-0474
- NPI assigned
- May 15, 2013
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 032305 | CA | Primary |
Addresses
Primary practice location
2999 Westminster, Suite 108
Seal Beach, CA 90740
Mailing address
2999 Westminster, Suite 108
Seal Beach, CA 90740
Phone (562) 431-9739
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 032305 | CA | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DRS. Gantes & Smith, a Professional Dental Corp. | Periodontics | 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.
-
- Periodontics
- Seal Beach, CA
- NPI 1417970641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368576000000",
"number": "1902242019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2999 WESTMINSTER, SUITE 108",
"city": "SEAL BEACH",
"state": "CA",
"postal_code": "90740",
"telephone_number": "562-431-9739",
"fax_number": "562-683-0474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2999 WESTMINSTER, SUITE 108",
"city": "SEAL BEACH",
"state": "CA",
"postal_code": "90740",
"telephone_number": "562-431-9739",
"fax_number": "562-683-0474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANTES",
"first_name": "BERNARD",
"middle_name": "GEORGES",
"name_prefix": "Dr.",
"credential": "D.D.S., M.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-05-15",
"last_updated": "2013-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "CA",
"license": "032305",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seal Beach, CA
- Patricia Lyn Gaitan, M.D.
- Gale Lawrence M.D., Inc.
- Jacqueline Nicole Mariano Gallardo, MD
- Dennise Gallegos, ATC
- Steven E. Gammer, M.D.
- Garfield Beach CVS LLC (CVS Pharmacy 09551)
- Garfield Beach CVS LLC (CVS Pharmacy #16669)
- Garfield Beach CVS LLC (CVS Pharmacy #08843)
- Edward Michael Gass, OD
- Lisa Gayou
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.