Gutierrez, Vicencio D.D.S Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

D44176 Issued in CA

Legal business name

GUTIERREZ, VICENCIO D.D.S INC

Doing business as

Whittier Magic Smile

Practice address

11156 Whittier Blvd
Whittier, CA 90606-1432

Phone

(562) 692-5311

Fax

(562) 692-2425

NPI assigned

Mar 20, 2008

Last updated

Mar 20, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Martha L Gutierrez, D.D.S

Title

President

Phone

(562) 692-5311

Specialties & licenses 1

Addresses

Other names 1

• Whittier Magic Smile Doing business as

Locations

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

{
    "created_epoch": "1205971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205971200000",
    "number": "1114198868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11156 WHITTIER BLVD",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906061432",
            "telephone_number": "562-692-5311",
            "fax_number": "562-692-2425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11156 WHITTIER BLVD",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906061432",
            "telephone_number": "562-692-5311",
            "fax_number": "562-692-2425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUTIERREZ, VICENCIO D.D.S INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-20",
        "last_updated": "2008-03-20",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-692-5311",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "D44176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Whittier Magic Smile",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ricardo Douglas Gutierrez
• Ricardo Jorge Gutierrez
• Richard Gutierrez
• Ruby A Gutierrez, BA
• Sonia Gutierrez
• Guy K Kato OD
• Sara Gabriela Guzman Olano
• Adrienne Guzman
• Bonnie Belen Guzman
• Denise Guzman, SLPA

• Dental Clinic/Center in Whittier, CA
• Providers in Whittier, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.

Verify at the official NPI Registry.