Active NPI
Adrienne S Gunstream, DDS, MS
- Periodontics
- Coralville, IA
National Provider Identifier
1952500365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 08614
- Practice address
- 501 12TH Ave
Suite 202
Coralville, IA 52241-1774 - Phone
- (319) 351-5439
- Fax
- (319) 354-0491
- NPI assigned
- Jul 16, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 52861 | CA | |
| Periodontics | 1223P0300X | 08614 | IA | Primary |
Addresses
Primary practice location
501 12TH Ave
Suite 202
Coralville, IA 52241-1774
Mailing address
501 12TH Ave
Suite 202
Coralville, IA 52241-1774
Phone (319) 351-5439
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52861 | CA | MD | Marriage & Family Therapist |
| 08614 | IA | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eastern Iowa Periodontics, PC | Periodontics | Past | Accepting new patients |
| Iowa Pediatric Dental Center | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Periodontics
- Coralville, IA
- NPI 1083947667
-
- Pediatric Dentistry
- Coralville, IA
- NPI 1639595952
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250640000000",
"number": "1952500365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 12TH AVE",
"address_2": "SUITE 202",
"city": "CORALVILLE",
"state": "IA",
"postal_code": "522411774",
"telephone_number": "319-351-5439",
"fax_number": "319-354-0491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 12TH AVE",
"address_2": "SUITE 202",
"city": "CORALVILLE",
"state": "IA",
"postal_code": "522411774",
"telephone_number": "319-351-5439",
"fax_number": "319-354-0491"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUNSTREAM",
"first_name": "ADRIENNE",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "DDS, MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-16",
"last_updated": "2009-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "CA",
"license": "52861",
"primary": false
},
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "IA",
"license": "08614",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coralville, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.