Nikaury Guzman Pibernus, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

3397 Issued in PR

Practice address

30760 Woodward Ave
Royal Oak, MI 48073-0918

Phone

(248) 675-0946

NPI assigned

Jan 26, 2022

Last updated

Oct 24, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1643155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1407508823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1137",
            "city": "VILLALBA",
            "state": "PR",
            "postal_code": "007661137",
            "telephone_number": "787-673-8478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30760 WOODWARD AVE",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480730918",
            "telephone_number": "248-675-0946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUZMAN PIBERNUS",
        "first_name": "NIKAURY",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-26",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MI",
            "license": "2901602361",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PR",
            "license": "3397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ankur Kumar Gupta, PHARMD
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• Steven D Gustafson, DDS
• Amy Jo Guyton, M.A.,LLP
• Bria Gwisdalla
• Jackie R Gyomory, ACNP-BC
• Bonnie Haaseth
• Fawaz Habba, DO
• Joe Habbouche, MD

• Dentist in Royal Oak, MI
• Providers in Royal Oak, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; 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.