Individual provider Active NPI

Natalie Guerra, DDS.

  • Dentist
  • Miami, FL
National Provider Identifier
1306225099
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN22926 Issued in FL
Practice address
11880 SW 40 St
Ste.302
Miami, FL 33175-3317
Phone
(305) 221-0102
Fax
(305) 221-0103
NPI assigned
May 27, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Dentist 122300000X DN22926 FL Primary

Addresses

Primary practice location

11880 SW 40 St
Ste.302
Miami, FL 33175-3317

Mailing address

530 NW 136TH Ave
Miami, FL 33182-1915
Phone (786) 365-9144

Other practice location 1

500 Gypsy Lane
Youngstown, OH 44501
Phone (330) 884-3573

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160226001538 OH Order and Referring Only - Other (Non-Physician) 6204131360

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN22926FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
West Kendall Dental Associates Inc. Dentist Past Accepting new patients
Vannette Guerra DDS, PA Dentist Past 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": "1432684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1306225099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 NW 136TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331821915",
            "telephone_number": "786-365-9144",
            "fax_number": "305-221-0103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11880 SW 40 ST",
            "address_2": "STE.302",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753317",
            "telephone_number": "305-221-0102",
            "fax_number": "305-221-0103"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Gypsy Lane",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "44501",
            "country_code": "US",
            "telephone_number": "330-884-3573",
            "fax_number": "330-884-5688",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUERRA",
        "first_name": "NATALIE",
        "name_prefix": "Mrs.",
        "credential": "DDS.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-27",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN22926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.