Individual provider Active NPI

Sally A Guyton, D.D.S.

  • Dentist
  • Lafayette, CO
National Provider Identifier
1023204583
Registry record updated Sep 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
8544 Issued in CO
Practice address
1319 W Baseline Rd
#200
Lafayette, CO 80026-9307
Phone
(303) 664-5775
Fax
(303) 664-5774
NPI assigned
Sep 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 8544 CO Primary

Addresses

Primary practice location

1319 W Baseline Rd
#200
Lafayette, CO 80026-9307

Mailing address

1319 W Baseline Rd
#200
Lafayette, CO 80026-9307
Phone (303) 664-5775

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20170130002918 CO Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 2567744360

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8544COMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Indian Peaks Dental LLC PastSince Jul 25, 2019 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": "1190160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190160000000",
    "number": "1023204583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1319 W BASELINE RD",
            "address_2": "#200",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800269307",
            "telephone_number": "303-664-5775",
            "fax_number": "303-664-5774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 W BASELINE RD",
            "address_2": "#200",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800269307",
            "telephone_number": "303-664-5775",
            "fax_number": "303-664-5774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUYTON",
        "first_name": "SALLY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-19",
        "last_updated": "2007-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "8544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, CO

Sources for this page

Verify at the official NPI Registry.