Brandon Guariglia, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DE60469116 Issued in WA

Practice address

16420 Meridian E
Suite 104
Puyallup, WA 98375-2514

Phone

(253) 445-6669

NPI assigned

Jun 19, 2014

Sex

Male

Sole proprietor

No

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

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1403136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406073600000",
    "number": "1114331980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16420 MERIDIAN E STE 104",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983752514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16420 MERIDIAN E",
            "address_2": "SUITE 104",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983752514",
            "telephone_number": "253-445-6669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUARIGLIA",
        "first_name": "BRANDON",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-19",
        "last_updated": "2014-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60469116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Dawn Svedberg Grout, LMFTA
• Thomas Glen Grover, PTA
• Mark S Grubb, M.D.
• Nancy A Grubb, MD
• Denise J Gruchalla, PA-C
• Jonathan Michael Gubbe
• Shravana Deepthi Gudivada, MD
• Courtney Guerra, PHARMD
• Jovante Auli I Lani O Ka Mik Guerra, LMT
• Alfredo Guerrero

• Dentist in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.