Dante Anibal Gutierrez, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1090213 Issued in TX

Practice address

3230 I 30 Ste 100
Mesquite, TX 75150-2662

Phone

(972) 682-1791

NPI assigned

Sep 26, 2022

Last updated

Apr 10, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Pedcare, PA

  dba Kids Wellness Center

  • Pediatrics Physician
  • Mesquite, TX
  • NPI 1427375294
  NPD (past)

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1083337968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3230 I 30 STE 100",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751502662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3230 I 30 STE 100",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751502662",
            "telephone_number": "972-682-1791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "DANTE",
        "middle_name": "ANIBAL",
        "name_prefix": "Mr.",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-26",
        "last_updated": "2024-04-10",
        "certification_date": "2022-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1090213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelyn Nicole Gruell
• Amy Christina Gruszecki, DO
• Guardian Angels Clinic PLLC
• Alexandria Nicole Gulley
• Natasha Gupta, D.O
• Luis Nain Gutierrez, DO
• Sreedevi Nonesupplied Guttikonda, MBBS
• H&M Optics LLC
• H&M Optics LLC (My Eye Lab)
• H&M Refraction Services LLC

• Family Nurse Practitioner in Mesquite, TX
• Providers in Mesquite, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; 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.