Individual provider Active NPI

Taira Katherine Guyer, DDS

  • Dentist
  • Sheridan, WY
National Provider Identifier
1295347672
Registry record updated Aug 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
1559 Issued in WY
Practice address
2056 S Sheridan Ave
Sheridan, WY 82801-6105
Phone
(307) 672-2421
NPI assigned
Aug 18, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 1559 WY Primary

Addresses

Primary practice location

2056 S Sheridan Ave
Sheridan, WY 82801-6105

Mailing address

2056 S Sheridan Ave
Sheridan, WY 82801-6105
Phone (307) 672-2421

Other practice location 1

642 Val Vista St
Sheridan, WY 82801-3659
Phone (307) 674-9222

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

LicenseStateTypeSpecialty
1559WYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Creekside Dental LLC PastSince Aug 23, 2020 Accepting new patients
Watt Dental Clinic, P.C. PastSince Aug 23, 2020 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597708800000",
    "number": "1295347672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2056 S SHERIDAN AVE",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828016105",
            "telephone_number": "307-672-2421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2056 S SHERIDAN AVE",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828016105",
            "telephone_number": "307-672-2421"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "642 Val Vista St",
            "address_purpose": "LOCATION",
            "city": "Sheridan",
            "state": "WY",
            "postal_code": "828013659",
            "country_code": "US",
            "telephone_number": "307-674-9222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUYER",
        "first_name": "TAIRA",
        "middle_name": "KATHERINE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-18",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WY",
            "license": "1559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheridan, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.