Venerando Randall Guelpa, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9441 Issued in FL

Practice address

4300 Bayou Blvd
Suite 6
Pensacola, FL 32503-1949

Phone

(850) 476-4849

NPI assigned

Mar 12, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225160328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 BAYOU BLVD",
            "address_2": "SUITE 6",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325031949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 BAYOU BLVD",
            "address_2": "SUITE 6",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325031949",
            "telephone_number": "850-476-4849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUELPA",
        "first_name": "VENERANDO",
        "middle_name": "RANDALL",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "9441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Elsworth Gross, MD
• Skyelar Grosvenor, RBT
• Kevin Dale Groves, M.D.
• Maynilla Grudowski, LMT
• Cori Gruschow
• Lane Guess
• Ethan Gregory Guffey, MD
• Shawna Frances Guheen, L.M.T.
• Anna Guidry, OTD, OTR/L
• Stephanie Guidry, LMHC

• General Practice Dentistry in Pensacola, FL
• Providers in Pensacola, FL by specialty
• General Practice Dentistry in Florida

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.