Individual provider Active NPI

Jorge A Guel, D.D.S.

  • General Practice Dentistry
  • San Antonio, TX
National Provider Identifier
1023133196
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
15323 Issued in TX
Practice address
3138 SE Military Dr Ste 104
San Antonio, TX 78223-3894
Phone
(210) 533-1100
Fax
(210) 333-3363
NPI assigned
Mar 20, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 15323 TX Primary

Addresses

Primary practice location

3138 SE Military Dr Ste 104
San Antonio, TX 78223-3894

Mailing address

3138 SE Military Dr Ste 104
San Antonio, TX 78223-3894
Phone (210) 533-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20231227002125 TX Order and Referring Only - DentistPractitioner - Dentist 0244539815

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15323TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
TX Southern Dental PPO PC 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.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1023133196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3138 SE MILITARY DR STE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782233894",
            "telephone_number": "210-533-1100",
            "fax_number": "210-333-3363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3138 SE MILITARY DR STE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782233894",
            "telephone_number": "210-533-1100",
            "fax_number": "210-333-3363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUEL",
        "first_name": "JORGE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "15323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.