Timothy Lee Gutierrez Jr., DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DEN.00203263 Issued in CO

Practice address

1800 Vine St
Denver, CO 80206-1122

Phone

(303) 377-2345

NPI assigned

Jul 18, 2017

Last updated

Jan 30, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• City Park Dental Group, LLP

  dba City Park Dental Group

  • General Practice Dentistry
  • Denver, CO
  • NPI 1588094320
  NPD (past)
• Midtown Dental

  • General Practice Dentistry
  • Denver, CO
  • NPI 1326155649
  NPD (past)

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

{
    "created_epoch": "1500336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548806400000",
    "number": "1306369624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 VINE ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802061122",
            "telephone_number": "303-377-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 VINE ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802061122",
            "telephone_number": "303-377-2345"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9227 E Lincoln Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Lone Tree",
            "state": "CO",
            "postal_code": "801245504",
            "country_code": "US",
            "telephone_number": "720-943-2153",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3705 E Colfax Ave Unit 101",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802061810",
            "country_code": "US",
            "telephone_number": "303-399-3001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "TIMOTHY",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-18",
        "last_updated": "2019-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "DEN.00203263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000164949",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nika Pesaran Gutierrez, DDS
• Paulina Gutierrez
• Peter Mark Gutierrez, PH.D.
• Roberto Adrian Gutierrez, PMHNP-BC
• Stephanie Gutierrez, MD
• Tracy L Gutierrez, DMD
• Yael Gutin, RDN
• Amy Gutknecht, LPC
• Isaac David Gutman, LAC
• Daniel L Gutmann, M.D.

• Dentist in Denver, CO
• Providers in Denver, CO by specialty
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2019; 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.