Organization Active NPI

Peter M. Gutierrez, D.D.S. and Katherine Scures-Gutierrez, D.D.S., P.a

  • Dentist
  • Sebastian, FL
National Provider Identifier
1053617969
Registry record updated Feb 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN10063 Issued in FL
Legal business name
PETER M. GUTIERREZ, D.D.S. AND KATHERINE SCURES-GUTIERREZ, D.D.S., P.A
Practice address
373 Sebastian Blvd
Sebastian, FL 32958-4550
Phone
(772) 589-7409
Fax
(772) 589-0777
NPI assigned
Feb 10, 2011
Last updated
Feb 10, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2011

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

Authorized official

Name
Dr. Katherine Scures-Gutierrez, DDSNPI 1578672721
Title
Owner/Dentist
Phone
(772) 589-7409

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DN10063 FL Primary

Addresses

Primary practice location

373 Sebastian Blvd
Sebastian, FL 32958-4550

Mailing address

373 Sebastian Blvd
Sebastian, FL 32958-4550
Phone (772) 589-7409

Other identifiers 2

IdentifierTypeStateIssuer
1982713145OtherINDIVIDUAL NPI
1578672721OtherINDIVIDUAL NPI

National Provider Directory

National Provider Directory

Locations

373 Sebastian Blvd
Sebastian, FL 32958
Phone (772) 589-7409

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1297296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297296000000",
    "number": "1053617969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "373 SEBASTIAN BLVD",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329584550",
            "telephone_number": "772-589-7409",
            "fax_number": "772-589-0777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "373 SEBASTIAN BLVD",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329584550",
            "telephone_number": "772-589-7409",
            "fax_number": "772-589-0777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER M. GUTIERREZ, D.D.S. AND KATHERINE SCURES-GUTIERREZ, D.D.S., P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-10",
        "last_updated": "2011-02-10",
        "status": "A",
        "authorized_official_last_name": "SCURES-GUTIERREZ",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "772-589-7409",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN10063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1982713145",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1578672721",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebastian, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.