Individual provider Active NPI

Gayatri Gunda Horowitz, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Worcester, MA
National Provider Identifier
1992932925
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DN1855161 Issued in MA
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

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160421000312 MA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 8123326378

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN1855161MAMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Springfield Family Dental PC PastSince Oct 9, 2022 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.

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

Verify at the official NPI Registry.