Richard Dean Guthrie, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

42658 Issued in CA

Practice address

27001 La Paz Rd Ste 384
Mission Viejo, CA 92691-5526

Phone

(949) 768-5046

Fax

(949) 768-6043

NPI assigned

Jan 16, 2007

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

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.

Opted out of Medicare

Yes, effective Oct 5, 2015 through Oct 5, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1134270010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27001 LA PAZ RD STE 384",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926915526",
            "telephone_number": "949-768-5046",
            "fax_number": "949-768-6043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27001 LA PAZ RD STE 384",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926915526",
            "telephone_number": "949-768-5046",
            "fax_number": "949-768-6043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTHRIE",
        "first_name": "RICHARD",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "42658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evan Michael Guerrero, M.D.
• Joseph Vincent Guiliana, D.O.
• Satvinder Kaur Gujral, M.D.
• Jacquelyn Lee Gurrieri, LMFT, 161501
• Debra Dale Guthridge-Lind, RNP
• Andres Gutierrez
• Melissa Jean Gutierrez
• Huan Guu, M.D.
• Guy W Mendivil DDS Inc
• Georgina Guy, PSY.D

• General Practice Dentistry in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.