Active NPI
Natalie Guerra, DDS.
- Dentist
- Miami, FL
National Provider Identifier
1306225099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN22926
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160226001538 | OH | Order and Referring Only - Other (Non-Physician) | 6204131360 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN22926 | FL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Dentist
- Miami, FL
- NPI 1477009819
-
- Dentist
- Miami, FL
- NPI 1063895662
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.