Active NPI
Adriana Guevara, D.D.S.
- Dentist
- Milwaukee, WI
National Provider Identifier
1053598268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 4746-015
- Practice address
- 3520 W Oklahoma Ave
Milwaukee, WI 53215-4175 - Phone
- (414) 645-0365
- Fax
- (414) 645-1052
- NPI assigned
- Jan 30, 2008
- Last updated
- Jan 30, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 4746-015 | WI | Primary |
Addresses
Primary practice location
3520 W Oklahoma Ave
Milwaukee, WI 53215-4175
Mailing address
2816 E Hartford Ave
Milwaukee, WI 53211-3147
Phone (414) 645-0365
Other names 1
- Dr. Adriana Guevara
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 |
|---|---|---|---|
| 4746-015 | WI | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paul D Smith D.D.S., S.C. Dba Jackson Park Family Dental | Dentist | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Paul Smith DDS
- Dentist
- Milwaukee, WI
- NPI 1558023622
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201651200000",
"number": "1053598268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2816 E HARTFORD AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532113147",
"telephone_number": "414-645-0365",
"fax_number": "414-645-1052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3520 W OKLAHOMA AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532154175",
"telephone_number": "414-645-0365",
"fax_number": "414-645-1052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUEVARA",
"first_name": "ADRIANA",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-30",
"last_updated": "2008-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WI",
"license": "4746-015",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ADRIANA",
"last_name": "GUEVARA",
"prefix": "DR.",
"credential": "D.D.S.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.