NPIMap

Organization Active NPI

Maria Teresa R de Guzman DDS Corp Inc

  • Dentist
  • Fair Oaks, CA
National Provider Identifier
1164819710
Registry record updated Apr 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
41390 Issued in CA
Legal business name
MARIA TERESA R DE GUZMAN DDS CORP INC
Doing business as
MyToothSpa Dentistry & Orthodontics
Practice address
5060 Sunrise Blvd
Suite A1
Fair Oaks, CA 95628-4944
Phone
(916) 863-0456
Fax
(916) 910-0751
NPI assigned
Apr 22, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2015

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

Authorized official

Name
Anthony Esano De Guzman Sr.
Title
Administrator
Phone
(916) 919-5721

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 41390 CA Primary

Addresses

Primary practice location

5060 Sunrise Blvd
Suite A1
Fair Oaks, CA 95628-4944

Mailing address

5060 Sunrise Blvd
Suite A4
Fair Oaks, CA 95628-4944
Phone (916) 919-5721

Other names 1

  • MyToothSpa Dentistry & Orthodontics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Maria Teresa R de Guzman DDS Corp4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1429660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429660800000",
    "number": "1164819710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5060 SUNRISE BLVD",
            "address_2": "SUITE A4",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956284944",
            "telephone_number": "916-919-5721",
            "fax_number": "916-910-0751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5060 SUNRISE BLVD",
            "address_2": "SUITE A1",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956284944",
            "telephone_number": "916-863-0456",
            "fax_number": "916-910-0751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA TERESA R DE GUZMAN DDS CORP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-22",
        "last_updated": "2015-04-22",
        "status": "A",
        "authorized_official_last_name": "DE GUZMAN",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "ESANO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "916-919-5721",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "41390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MyToothSpa Dentistry & Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fair Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2015; 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.