Ronald L Guttu, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

5783 Issued in WI

Practice address

2359 Murphy Woods Rd
Beloit, WI 53511-2343

Phone

(608) 362-9391

NPI assigned

Jun 20, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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 and National Provider Directory roles.

• Loyola University Physician Foundation

  • General Practice Physician
  • Maywood, IL
  • NPI 1235148891
  NPD (past)
• Walter & Chen, PS

  • Oral and Maxillofacial Surgery (Dentist)
  • Bellingham, WA
  • NPI 1356552970
  NPD (past)

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235520000000",
    "number": "1417952011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2359 MURPHY WOODS RD",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535112343",
            "telephone_number": "608-362-9391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2359 MURPHY WOODS RD",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535112343",
            "telephone_number": "608-362-9391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTTU",
        "first_name": "RONALD",
        "middle_name": "L",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-20",
        "last_updated": "2009-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "WI",
            "license": "5783",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33791000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Guiding Hands Living Support Services LLC
• Jennifer Gunderson
• David Kurt Gustilo
• Lisa Gutierrez, LPC
• Michal B. Gutowski, MD
• Kristin A Haakenson, RN
• Stacy Haddock
• Taylor Haefele, SAC-IT
• Crystal Haegele
• Lindsay A Halbach, LPN

• Oral and Maxillofacial Surgery (Dentist) in Beloit, WI
• Providers in Beloit, WI by specialty
• Oral and Maxillofacial Surgery (Dentist) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2009; 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.