Individual provider Active NPI

Roxanna Jean Esguerra, DDS, MS

  • Prosthodontics
  • Duluth, MN
National Provider Identifier
1366890733
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
DEN.00201942 Issued in CO
Practice address
324 W Superior St Ste 1212
Duluth, MN 55802-1712
Phone
(218) 722-8118
Fax
(303) 427-4009
NPI assigned
May 26, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X DEN.00201942 CO Primary

Addresses

Primary practice location

324 W Superior St Ste 1212
Duluth, MN 55802-1712

Mailing address

324 W Superior St Ste 1212
Duluth, MN 55802-1712
Phone (218) 722-8118

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
DEN.00201942COMDProsthodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Esguerra Dental Implant Associates of Duluth Prosthodontics CurrentSince Feb 8, 2023 Accepting new patients

Locations

324 W Superior St
Ste 1212
Duluth, MN 55802
Phone (218) 722-8118

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1464220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1366890733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 W SUPERIOR ST STE 1212",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558021712",
            "telephone_number": "218-722-8118",
            "fax_number": "303-427-4009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 W SUPERIOR ST STE 1212",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558021712",
            "telephone_number": "218-722-8118",
            "fax_number": "303-427-4009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESGUERRA",
        "first_name": "ROXANNA",
        "middle_name": "JEAN",
        "credential": "DDS, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-26",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "CO",
            "license": "DEN.00201942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; 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.