NPIMap

Organization Active NPI

Maria Teresa R de Guzman DDS Corp

  • General Practice Dentistry
  • Carmichael, CA
National Provider Identifier
1255728408
Registry record updated Apr 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
41390 Issued in CA
Legal business name
MARIA TERESA R DE GUZMAN DDS CORP
Doing business as
MyToothSpa Dentistry and Orthodontics
Practice address
6600 Madison Ave
Suite 3
Carmichael, CA 95608-0645
Phone
(916) 863-2660
Fax
(916) 910-0753
NPI assigned
Apr 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2015

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

Authorized official

Name
Anthony Escano De Guzman
Title
Administrator
Phone
(916) 919-5721

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 41390 CA Primary

Addresses

Primary practice location

6600 Madison Ave
Suite 3
Carmichael, CA 95608-0645

Mailing address

5060 Sunrise Blvd
Ste A3
Fair Oaks, CA 95628-4944
Phone (916) 863-0456

Other names 1

  • MyToothSpa Dentistry and Orthodontics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Maria Teresa R de Guzman DDS Corp4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1429833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429833600000",
    "number": "1255728408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5060 SUNRISE BLVD",
            "address_2": "STE A3",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956284944",
            "telephone_number": "916-863-0456",
            "fax_number": "916-910-0751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 MADISON AVE",
            "address_2": "SUITE 3",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956080645",
            "telephone_number": "916-863-2660",
            "fax_number": "916-910-0753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA TERESA R DE GUZMAN DDS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-24",
        "last_updated": "2015-04-24",
        "status": "A",
        "authorized_official_last_name": "DE GUZMAN",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "ESCANO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "916-919-5721"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "41390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MyToothSpa Dentistry and Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carmichael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2015; 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.