Guarionex Decastro DMD PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

GUARIONEX DECASTRO DMD PA

Practice address

5917 W 12TH St Ste a
Little Rock, AR 72204-1600

Phone

(501) 663-3334

NPI assigned

Dec 16, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Guarionex R Decastro, DMD PANPI 1750499547

Title

Dentist

Phone

(501) 663-3334

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Guarionex Decastro, D.M.D., P.A.

  • Dentist
  • Little Rock, AR
  • NPI 1750499547
  NPD Authorized official

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

{
    "created_epoch": "1608076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608076800000",
    "number": "1225624919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5917 W 12TH ST STE A",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722041600",
            "telephone_number": "501-663-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5917 W 12TH ST STE A",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722041600",
            "telephone_number": "501-663-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARIONEX DECASTRO DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-16",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A",
        "authorized_official_last_name": "DECASTRO",
        "authorized_official_first_name": "GUARIONEX",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "501-663-3334",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DMD PA"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1750499547",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jaclyn Gruver
• Sara Grygus
• Jeffrey Kirk Grynwald Jr., MD
• Guaranteed Expedite Service LLC
• Peggy Kenley Guard, M.D.
• Margueritte Christina Guarno, OTR/L
• Oleksiy Gudz, M.D.,PHD
• Mary Ann Guell, NP
• Reese Guerra
• William Brian Guice, O.D.

• General Practice Dentistry in Little Rock, AR
• Providers in Little Rock, AR by specialty
• General Practice Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2020; 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.