Individual provider Active NPI

Lauren Louise Gutenberg, D.D.S., M.S.D

  • Pediatric Dentistry
  • Palm Springs, CA
National Provider Identifier
1336428275
Registry record updated Mar 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
59415 Issued in CA
Practice address
490 S Farrell Dr
Ste. C-101
Palm Springs, CA 92262-7992
Phone
(760) 320-7621
NPI assigned
Aug 9, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 59415 CA Primary

Addresses

Primary practice location

490 S Farrell Dr
Ste. C-101
Palm Springs, CA 92262-7992

Mailing address

1417 Sterling Rd
Redlands, CA 92373-6675
Phone (909) 499-7318

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20161202001390 CA Order and Referring Only - DentistPractitioner - Dentist 2062792385

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lauren L. Gutenberg, DDS, MSD, Inc. Pediatric Dentistry Past Accepting new patients
Gutenberg Dental Corporation Pediatric Dentistry 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": "1312848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489795200000",
    "number": "1336428275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1417 STERLING RD",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923736675",
            "telephone_number": "909-499-7318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 S FARRELL DR",
            "address_2": "STE. C-101",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922627992",
            "telephone_number": "760-320-7621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTENBERG",
        "first_name": "LAUREN",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-09",
        "last_updated": "2017-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "59415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, CA

Sources for this page

Verify at the official NPI Registry.