Individual provider Active NPI

Ralph S Guercio, DDS

  • Dentist
  • Merrimack, NH
National Provider Identifier
1205979549
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
NH1517 Issued in NH
Practice address
382 Daniel Webster Highway
Merrimack, NH 03049
Phone
(603) 424-6131
Fax
(603) 424-3620
NPI assigned
Feb 15, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NH1517 NH Primary
Dentist 122300000X 13303 MA

Addresses

Primary practice location

382 Daniel Webster Highway
Merrimack, NH 03049

Mailing address

66 Meadow Drive
Hollis, NH 03049
Phone (603) 424-6131

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20160105001355 NH Order and Referring Only - DentistPractitioner - Dentist 7618279894

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NH1517NHMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205979549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 MEADOW DRIVE",
            "city": "HOLLIS",
            "state": "NH",
            "postal_code": "03049",
            "telephone_number": "603-424-6131",
            "fax_number": "603-424-3620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "382 DANIEL WEBSTER HIGHWAY",
            "city": "MERRIMACK",
            "state": "NH",
            "postal_code": "03049",
            "telephone_number": "603-424-6131",
            "fax_number": "603-424-3620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERCIO",
        "first_name": "RALPH",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NH",
            "license": "NH1517",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "13303",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrimack, NH

Sources for this page

Verify at the official NPI Registry.