Individual provider Active NPI

Chestine Guevarra Toth, DMD, MS

  • Periodontics
  • Morrow, OH
National Provider Identifier
1336128701
Registry record updated Dec 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
30.025190 Issued in OH
Practice address
5032 Appaloosa Cir
Morrow, OH 45152-8294
Phone
(513) 899-7186
Fax
(513) 899-7237
NPI assigned
Jan 12, 2006
Last updated
Dec 23, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DT-2133 HI
General Practice Dentistry 1223G0001X 30.025190 OH
Periodontics 1223P0300X 30.025190 OH Primary
Periodontics 1223P0300X DT-2133 HI

Addresses

Primary practice location

5032 Appaloosa Cir
Morrow, OH 45152-8294

Mailing address

5032 Appaloosa Cir
Morrow, OH 45152-8294
Phone (513) 899-7186

Other names 1

  • Dr. Chestine Sandoval Guevarra Former name

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: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230419000461 OH Order and Referring Only - DentistPractitioner - Dentist 1052786308

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
DT-2133HIMDGeneral Practice Dentistry
30.025190OHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Baker Square Periodontics and Implant Dentistry, LLC Periodontics CurrentSince Dec 28, 2022 Accepting new patients

Locations

5032 Appaloosa Cir
Morrow, OH 45152
Phone (513) 899-7186

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": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671753600000",
    "number": "1336128701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5032 APPALOOSA CIR",
            "city": "MORROW",
            "state": "OH",
            "postal_code": "451528294",
            "telephone_number": "513-899-7186",
            "fax_number": "513-899-7237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5032 APPALOOSA CIR",
            "city": "MORROW",
            "state": "OH",
            "postal_code": "451528294",
            "telephone_number": "513-899-7186",
            "fax_number": "513-899-7237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOTH",
        "first_name": "CHESTINE",
        "middle_name": "GUEVARRA",
        "name_prefix": "Dr.",
        "credential": "DMD, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-12",
        "last_updated": "2022-12-23",
        "certification_date": "2022-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "DT-2133",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.025190",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "OH",
            "license": "30.025190",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "HI",
            "license": "DT-2133",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHESTINE",
            "last_name": "GUEVARRA",
            "middle_name": "SANDOVAL",
            "prefix": "DR.",
            "credential": "DMD, MS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Morrow, OH

Sources for this page

Verify at the official NPI Registry.