Chad Louis Guerra, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6245250-9922 Issued in UT

Practice address

1300 N Oakland Ave Ste B
Bolivar, MO 65613-3008

Phone

(417) 770-5145

NPI assigned

Aug 5, 2006

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 MO

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

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bolivar Smiles Dentistry, LLC

  • General Practice Dentistry
  • Bolivar, MO
  • NPI 1811622525
  NPD Authorized official
• Hillside Dental Associates

  • General Practice Dentistry
  • Clearfield, UT
  • NPI 1205042686
  NPD (past)

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647216000000",
    "number": "1124037460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 N OAKLAND AVE STE B",
            "city": "BOLIVAR",
            "state": "MO",
            "postal_code": "656133008",
            "telephone_number": "417-770-5145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N OAKLAND AVE STE B",
            "city": "BOLIVAR",
            "state": "MO",
            "postal_code": "656133008",
            "telephone_number": "417-770-5145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRA",
        "first_name": "CHAD",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "6245250-9922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grainger Counseling LLC
• Rachel Grainger, LCSW
• Jonathan Eugene Gray, D.O
• Kristine Terese Grbac-Schomaker, M.A. CCC-A
• Donna M Griffin, LCSW
• Brian G Hackleman, DC
• Cynthia Lee Hadfield, PHARMD
• William Everett Hafer, LCSW
• Teresa Gayle Hagedorn, APRN
• Alan R Hale, PT

• General Practice Dentistry in Bolivar, MO
• Providers in Bolivar, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2022; 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.