Individual provider Active NPI

Catherine Diane Guerra, DDS

  • General Practice Dentistry
  • Colorado Springs, CO
National Provider Identifier
1356342174
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DEN.00007212 Issued in CO
Practice address
1359 Interquest Parkway
Suite 100
Colorado Springs, CO 80921-8333
Phone
(719) 374-5496
Fax
(719) 900-7795
NPI assigned
Aug 2, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 7212 CO
General Practice Dentistry 1223G0001X DEN.00007212 CO Primary

Addresses

Primary practice location

1359 Interquest Parkway
Suite 100
Colorado Springs, CO 80921-8333

Mailing address

1359 Interquest Parkway
Suite 100
Colorado Springs, CO 80921-8333
Phone (719) 360-2403

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20151014000375 CO Order and Referring Only - DentistPractitioner - Dentist 2466761473

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DEN.00007212COMDGeneral Practice Dentistry
7212COMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Champion Smiles Family Dentistry PLLC Dentist CurrentSince Apr 6, 2025 Accepting new patients
Perfect Teeth - Uintah Gardens P.C. General Practice Past Accepting new patients

Locations

1359 Interquest Pkwy
Ste 100
Colorado Springs, CO 80921
Phone (719) 374-5496

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": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1356342174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1359 INTERQUEST PARKWAY",
            "address_2": "SUITE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809218333",
            "telephone_number": "719-360-2403",
            "fax_number": "719-632-6283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1359 INTERQUEST PARKWAY",
            "address_2": "SUITE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809218333",
            "telephone_number": "719-374-5496",
            "fax_number": "719-900-7795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRA",
        "first_name": "CATHERINE",
        "middle_name": "DIANE",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-02",
        "last_updated": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "7212",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "DEN.00007212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.