Active NPI
Sandra Gutierrez-Juarez
- Dental Assistant
- Sparks, NV
National Provider Identifier
1306477377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Assistant
- Practice address
- 2145 Green Vista Dr Ste 110
Sparks, NV 89431-8513 - Phone
- (775) 331-9477
- Fax
- (775) 331-2181
- NPI assigned
- Jan 29, 2020
- Last updated
- Jan 29, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Assistant | 126800000X | NU | Primary |
Addresses
Primary practice location
2145 Green Vista Dr Ste 110
Sparks, NV 89431-8513
Mailing address
2145 Green Vista Dr Ste 110
Sparks, NV 89431-8513
Phone (775) 331-9477
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ruggiero and Francis Dentistry | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580256000000",
"number": "1306477377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2145 GREEN VISTA DR STE 110",
"city": "SPARKS",
"state": "NV",
"postal_code": "894318513",
"telephone_number": "775-331-9477",
"fax_number": "775-331-2181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2145 GREEN VISTA DR STE 110",
"city": "SPARKS",
"state": "NV",
"postal_code": "894318513",
"telephone_number": "775-331-9477",
"fax_number": "775-331-2181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTIERREZ-JUAREZ",
"first_name": "SANDRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-29",
"last_updated": "2020-01-29",
"certification_date": "2020-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "126800000X",
"taxonomy_group": "",
"desc": "Dental Assistant",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sparks, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.