Richard A Guaccio, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12006450 Issued in IN

Practice address

124 E US Highway 30
Schererville, IN 46375-2117

Phone

(219) 865-3050

Fax

(219) 865-3431

NPI assigned

Mar 29, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Richard a. Guaccio

  dba Northwest Indiana Center for Dental Implants

  • General Practice Dentistry
  • Schererville, IN
  • NPI 1982724589
  NPD (past) Authorized official
• Northwest Indiana Center for Dental Implants and Gerneral Dentistry

  • General Practice Dentistry
  • Schererville, IN
  • NPI 1174900179
  NPD (past)

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396865960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 E US HIGHWAY 30",
            "city": "SCHERERVILLE",
            "state": "IN",
            "postal_code": "463752117",
            "telephone_number": "219-865-3050",
            "fax_number": "219-865-3431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 E US HIGHWAY 30",
            "city": "SCHERERVILLE",
            "state": "IN",
            "postal_code": "463752117",
            "telephone_number": "219-865-3050",
            "fax_number": "219-865-3431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUACCIO",
        "first_name": "RICHARD",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12006450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grand Smiles, PC
• Donald Clifford Graves, DPM
• Dana Gritteres
• Claire Gronek, RD
• Brock Andru Gross, DC
• Anthony Joseph Guadagno, O.D.
• Lindi Marie Gubbins, M.A., CCC-SLP
• Holly M Gutierrez, MS, OTR
• H & H Health Specialists, LLC
• Christopher Luke Haak, PHD

• General Practice Dentistry in Schererville, IN
• Providers in Schererville, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.