Individual provider Active NPI

Arthur Gutnik, DMD

  • Dentist
  • Newberg, OR
National Provider Identifier
1992228076
Registry record updated Jul 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D10701 Issued in OR
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

Updated by the provider on Jul 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180427000566 OR Order and Referring Only - DentistPractitioner - Dentist 4587928585

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D10701ORMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Jacob K. Bushnell, DDS LLC PastSince Dec 22, 2024 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.

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

Verify at the official NPI Registry.