Active NPI
John E Guggedahl, M.D.
- Pediatrics Physician
- El Paso, TX
National Provider Identifier
1073582904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- F-4031
- Practice address
- 6955 N Mesa St
#104
El Paso, TX 79912-4424 - Phone
- (915) 833-8996
- NPI assigned
- Mar 14, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | F-4031 | TX | Primary |
Addresses
Primary practice location
6955 N Mesa St
#104
El Paso, TX 79912-4424
Mailing address
6955 N Mesa St
#104
El Paso, TX 79912-4424
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F-4031 | TX | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187568000000",
"number": "1073582904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6955 N MESA ST",
"address_2": "#104",
"city": "EL PASO",
"state": "TX",
"postal_code": "799124424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6955 N MESA ST",
"address_2": "#104",
"city": "EL PASO",
"state": "TX",
"postal_code": "799124424",
"telephone_number": "915-833-8996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUGGEDAHL",
"first_name": "JOHN",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-14",
"last_updated": "2007-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "F-4031",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.