NPIMap

Organization Active NPI

Guster Losey & Mack DDS Inc

  • General Practice Dentistry
  • Marysville, OH
National Provider Identifier
1962725077
Registry record updated Oct 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30-022215 Issued in OH
Legal business name
GUSTER LOSEY & MACK DDS INC
Practice address
1055 W 5TH St
Marysville, OH 43040-8668
Phone
(937) 642-8500
Fax
(937) 642-5474
NPI assigned
Mar 3, 2010
Last updated
Oct 19, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2023

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

Authorized official

Name
Dr. Theresa Reynolds LoseyNPI 1518053008
Title
Partner
Phone
(937) 642-8500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30-022215 OH Primary
General Practice Dentistry 1223G0001X 30021273 OH
General Practice Dentistry 1223G0001X 30023450 OH

Addresses

Primary practice location

1055 W 5TH St
Marysville, OH 43040-8668

Mailing address

1055 W 5TH St
Marysville, OH 43040-8668
Phone (937) 642-8500

Other identifiers 3

IdentifierTypeStateIssuer
2332685MedicaidOH
2663336MedicaidOH
3158130MedicaidOH

National Provider Directory

National Provider Directory

Locations

1055 W 5th St
Marysville, OH 43040
Phone (937) 642-8500

123 N Court St
Marysville, OH 43040
Phone (937) 642-8500

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1267574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697673600000",
    "number": "1962725077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 W 5TH ST",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430408668",
            "telephone_number": "937-642-8500",
            "fax_number": "937-642-5474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 W 5TH ST",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430408668",
            "telephone_number": "937-642-8500",
            "fax_number": "937-642-5474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUSTER LOSEY & MACK DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-03",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A",
        "authorized_official_last_name": "LOSEY",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "REYNOLDS",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "937-642-8500",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30-022215",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30021273",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30023450",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2332685",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2663336",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3158130",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marysville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2023; 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.