Individual provider Active NPI

Elizabeth H. Guerrero, D.D.S.

  • General Practice Dentistry
  • Port Allen, LA
National Provider Identifier
1023480910
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5108 Issued in LA
Practice address
203 Allendale Dr
Port Allen, LA 70767-3219
Phone
(225) 389-1311
Fax
(225) 389-1330
NPI assigned
Oct 30, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 5108 LA
General Practice Dentistry 1223G0001X 5108 LA Primary

Addresses

Primary practice location

203 Allendale Dr
Port Allen, LA 70767-3219

Mailing address

11331 Old Hammond Highway
Suite a
Baton Rouge, LA 70816
Phone (225) 275-0666

Other practice location 1

11331 Old Hammond Highway
Suite A
Baton Rouge, LA 70816
Phone (225) 275-0666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20260124000224 LA Order and Referring Only - DentistPractitioner - Dentist 9931401718

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5108LAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Elizabeth H. Guerrero, D.D.S., Apc Dentist Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: elizabeth.guerrero.p1@direct.rkmprimarycare.nextgenshare.com

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": "1446163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1023480910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11331 OLD HAMMOND HIGHWAY",
            "address_2": "SUITE A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "70816",
            "telephone_number": "225-275-0666",
            "fax_number": "225-275-0647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 ALLENDALE DR",
            "city": "PORT ALLEN",
            "state": "LA",
            "postal_code": "707673219",
            "telephone_number": "225-389-1311",
            "fax_number": "225-389-1330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11331 Old Hammond Highway",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "70816",
            "country_code": "US",
            "telephone_number": "225-275-0666",
            "fax_number": "225-275-0647",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUERRERO",
        "first_name": "ELIZABETH",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-30",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "LA",
            "license": "5108",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "5108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Allen, LA

Sources for this page

Verify at the official NPI Registry.