Lisa Gushin, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6908 Issued in NC

Practice address

203 Owen Dr
Fayetteville, NC 28304-3409

Phone

(910) 484-1771

NPI assigned

Nov 16, 2006

Last updated

Jan 24, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NC

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

Practice roles

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.

• Lisa Gushin D.D.S. P.a.

  • Dental Clinic/Center
  • Fayetteville, NC
  • NPI 1558548875
  NPD (past) Authorized official
• K. Jasinski, D.M.D., P.C.

  dba Owen Drive Family Dental

  • General Practice Dentistry
  • Fayetteville, NC
  • NPI 1871234633
  NPD (past)

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201132800000",
    "number": "1962575977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 OWEN DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043409",
            "telephone_number": "910-484-1771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 OWEN DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043409",
            "telephone_number": "910-484-1771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUSHIN",
        "first_name": "LISA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2008-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "6908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "586286",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "9010F",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "899010F",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rakesh Gupta, MD
• Heidi Gurney, MT
• Ananda Reddy Gurram, M.D.
• Anju Gurung
• Bikash Gurung, LPCA
• Lacey J Gutierrez, M.S., RBT, ITFS
• Lizzie Gutierrez, LCSW-A
• Laura Elizabeth Gutman, MD
• Caron Dawn Gutovitz, M.D.
• Molly Lynn Guy, DDS

• General Practice Dentistry in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2008; 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.