Active NPI
Arthur Gutnik, DMD
- Dentist
- Newberg, OR
National Provider Identifier
1992228076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D10701
- Practice address
- 200 N Edwards St
Newberg, OR 97132-2709 - Phone
- (503) 538-7358
- NPI assigned
- Jul 20, 2017
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | D10701 | OR | Primary |
Addresses
Primary practice location
200 N Edwards St
Newberg, OR 97132-2709
Mailing address
0650 SW Gaines St Apt 1902
Portland, OR 97239-4455
Phone (605) 201-3620
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180427000566 | OR | Order and Referring Only - Dentist | 4587928585 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D10701 | OR | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jacob K. Bushnell, DDS LLC | 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 and National Provider Directory roles.
-
- Dental Clinic/Center
- Newberg, OR
- NPI 1932916723
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1500508800000",
"number": "1992228076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "0650 SW GAINES ST APT 1902",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972394455",
"telephone_number": "605-201-3620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 N EDWARDS ST",
"city": "NEWBERG",
"state": "OR",
"postal_code": "971322709",
"telephone_number": "503-538-7358"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTNIK",
"first_name": "ARTHUR",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-07-20",
"last_updated": "2017-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OR",
"license": "D10701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newberg, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2017; 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.