Individual provider Active NPI

Chris Robert Guerrieri, DPM

  • Primary Podiatric Medicine Podiatrist
  • Gladstone, MO
National Provider Identifier
1396701108
Registry record updated Feb 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
0456 Issued in MO
Practice address
2800 NE 60TH St
Gladstone, MO 64119-2036
Phone
(816) 453-5161
Fax
(816) 453-5874
NPI assigned
Apr 21, 2006
Last updated
Feb 17, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X 0456 MO Primary

Addresses

Primary practice location

2800 NE 60TH St
Gladstone, MO 64119-2036

Mailing address

2800 NE 60TH St
Gladstone, MO 64119-2036
Phone (816) 453-5161

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
000456MOMDSocial Worker
0456MOMDPrimary Podiatric Medicine Podiatrist

NPI Registry JSON

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266364800000",
    "number": "1396701108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 NE 60TH ST",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "641192036",
            "telephone_number": "816-453-5161",
            "fax_number": "816-453-5874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 NE 60TH ST",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "641192036",
            "telephone_number": "816-453-5161",
            "fax_number": "816-453-5874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRIERI",
        "first_name": "CHRIS",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-21",
        "last_updated": "2010-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "MO",
            "license": "0456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gladstone, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2010; 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.