Active NPI
Denisse Breton Guerrero, DDS
- General Practice Dentistry
- Chattanooga, TN
National Provider Identifier
1215508791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 11617
- Practice address
- 125 Cherokee Blvd Apt 119
Chattanooga, TN 37405-3894 - Phone
- (423) 875-0600
- NPI assigned
- Jul 7, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 11617 | TN | Primary |
Addresses
Primary practice location
125 Cherokee Blvd Apt 119
Chattanooga, TN 37405-3894
Mailing address
1400 Adams St
Chattanooga, TN 37408-1415
Phone (615) 618-9350
Other practice location 1
5958 Snow Hill Rd Ste 124
Ooltewah, TN 37363-7845
Phone (423) 803-4500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11617 | TN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| River Valley Dentistry | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dental Clinic/Center
- Chattanooga, TN
- NPI 1316459514
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625616000000",
"number": "1215508791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 ADAMS ST",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374081415",
"telephone_number": "615-618-9350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 CHEROKEE BLVD APT 119",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374053894",
"telephone_number": "423-875-0600"
}
],
"practiceLocations": [
{
"address_1": "5958 Snow Hill Rd Ste 124",
"address_purpose": "LOCATION",
"city": "Ooltewah",
"state": "TN",
"postal_code": "373637845",
"country_code": "US",
"telephone_number": "423-803-4500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRETON GUERRERO",
"first_name": "DENISSE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-07",
"last_updated": "2021-07-07",
"certification_date": "2021-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TN",
"license": "11617",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.