Organization Active NPI

Sara M Guido D C P a

  • Chiropractor
  • El Paso, TX
National Provider Identifier
1184802407
Registry record updated Jul 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6070 Issued in TX
Legal business name
SARA M GUIDO D C P A
Practice address
11570 Pellicano Dr
El Paso, TX 79936-6050
Phone
(915) 594-8298
Fax
(915) 594-8972
NPI assigned
Feb 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2010

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

Authorized official

Name
Dr. Sara M Guido, D.C.,P.ANPI 1992791115
Title
Chiropracter
Phone
91559458298

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 6070 TX Primary

Addresses

Primary practice location

11570 Pellicano Dr
El Paso, TX 79936-6050

Mailing address

11570 Pellicano Dr
El Paso, TX 79936-6050
Phone (915) 594-8298

Other identifiers 2

IdentifierTypeStateIssuer
DC0841OtherTXRAILROAD MEDICARE
170669901MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040607001069 TX Part B Supplier - Clinic/Group Practice 8123000668 Receives reassigned benefits from 1 practitioner
Practice locations: El Paso, TX

National Provider Directory

National Provider Directory

Locations

11570 Pellicano Dr
El Paso, TX 79936
Phone (915) 594-8298

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1202428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278460800000",
    "number": "1184802407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11570 PELLICANO DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799366050",
            "telephone_number": "915-594-8298",
            "fax_number": "915-594-8972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11570 PELLICANO DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799366050",
            "telephone_number": "915-594-8298",
            "fax_number": "915-594-8972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARA M GUIDO D C P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-08",
        "last_updated": "2010-07-07",
        "status": "A",
        "authorized_official_last_name": "GUIDO",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIROPRACTER",
        "authorized_official_telephone_number": "91559458298",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C.,P.A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "6070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DC0841",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "170669901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.