Active NPI
Gary Peter Guillory, DDS
- Dentist
- San Antonio, TX
National Provider Identifier
1033244371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 16271
- Practice address
- 155 W Sunset Rd
San Antonio, TX 78209-2632 - Phone
- (210) 884-1247
- NPI assigned
- Feb 23, 2007
- Last updated
- Jul 13, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 16271 | TX | Primary |
| Public Health Dentistry | 1223D0001X | 10761 | TX |
Addresses
Primary practice location
155 W Sunset Rd
San Antonio, TX 78209-2632
Mailing address
623 Hemisfair Blvd
San Antonio, TX 78205-3343
Phone (210) 978-1000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10761 | TX | MD | Dentist |
| 16271 | TX | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Somerset Dental Group PLLC | Dentist | Past | Accepting new patients |
| Delhi Adan-Rice DDS PA | Dentist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657670400000",
"number": "1033244371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "623 HEMISFAIR BLVD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782053343",
"telephone_number": "210-978-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 W SUNSET RD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782092632",
"telephone_number": "210-884-1247"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUILLORY",
"first_name": "GARY",
"middle_name": "PETER",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-23",
"last_updated": "2022-07-13",
"certification_date": "2022-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "16271",
"primary": true
},
{
"code": "1223D0001X",
"taxonomy_group": "",
"desc": "Dentist, Dental Public Health",
"state": "TX",
"license": "10761",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.