Active NPI
Gayatri Gunda Horowitz, DMD
- Orthodontics and Dentofacial Orthopedics Dentistry
- Worcester, MA
National Provider Identifier
1992932925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- DN1855161
- Practice address
- 290 Park Ave
Worcester, MA 01609-1805 - Phone
- (508) 798-9040
- NPI assigned
- Jun 17, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DN1855161 | MA | Primary |
Addresses
Primary practice location
290 Park Ave
Worcester, MA 01609-1805
Mailing address
2 Washington Ave
Chelsea, MA 02150
Other practice location 1
188 Longwood Ave
Boston, MA 02115-5819
Phone (617) 432-1434
Other practice location 2
2 Washington Ave
Chelsea, MA 02150-3902
Phone (617) 887-2100
Other practice location 3
2 Washington Ave
Chelsea, MA 02150-3902
Phone (617) 887-2100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- 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 |
|---|---|---|---|---|
| I20160421000312 | MA | Order and Referring Only - Oral Surgery | 8123326378 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN1855161 | MA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Springfield Family Dental PC | Past | Accepting new patients | |
| Worcester Hills Dental PC | Past | Accepting new patients | |
| Bellingham Square Family Dental PC | Past | Accepting new patients | |
| Worcester Smiles Youth Dentistry, LLC | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Dentist
- Chelsea, MA
- NPI 1578735742
-
- Dental Clinic/Center
- Chelsea, MA
- NPI 1609590736
-
- General Practice Dentistry
- Worcester, MA
- NPI 1407263908
-
- General Practice Dentistry
- Worcester, MA
- NPI 1073661385
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1992932925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 WASHINGTON AVE",
"city": "CHELSEA",
"state": "MA",
"postal_code": "02150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "290 PARK AVE",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016091805",
"telephone_number": "508-798-9040"
}
],
"practiceLocations": [
{
"address_1": "188 Longwood Ave",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021155819",
"country_code": "US",
"telephone_number": "617-432-1434",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2 Washington Ave",
"address_purpose": "LOCATION",
"city": "Chelsea",
"state": "MA",
"postal_code": "021503902",
"country_code": "US",
"telephone_number": "617-887-2100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2 Washington Ave",
"address_purpose": "LOCATION",
"city": "Chelsea",
"state": "MA",
"postal_code": "021503902",
"country_code": "US",
"telephone_number": "617-887-2100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOROWITZ",
"first_name": "GAYATRI",
"middle_name": "GUNDA",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-17",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "MA",
"license": "DN1855161",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.