Organization Active NPI

Dr. Warren S. Guy, D.D.S., PH. D, PA

Doing business as Pediatric Dentistry of East Texas

  • Pediatric Dentistry
  • Lufkin, TX
National Provider Identifier
1437493335
Registry record updated Nov 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
TX8431 Issued in TX
Legal business name
DR. WARREN S. GUY, D.D.S., PH. D, PA
Doing business as
Pediatric Dentistry of East Texas
Practice address
1218 Ellis Ave
Lufkin, TX 75904-3326
Phone
(936) 634-6119
Fax
(936) 639-3442
NPI assigned
Nov 15, 2012
Last updated
Nov 15, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2012

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

Authorized official

Name
Dr. Warren Stacy Guy, DDS
Title
Owner
Phone
(936) 634-6119

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X TX8431 TX Primary

Addresses

Primary practice location

1218 Ellis Ave
Lufkin, TX 75904-3326

Mailing address

1218 Ellis Ave
Lufkin, TX 75904-3326
Phone (936) 634-6119

Other names 1

  • Pediatric Dentistry of East Texas Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352937600000",
    "number": "1437493335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1218 ELLIS AVE",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043326",
            "telephone_number": "936-634-6119",
            "fax_number": "936-639-3442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1218 ELLIS AVE",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043326",
            "telephone_number": "936-634-6119",
            "fax_number": "936-639-3442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. WARREN S. GUY, D.D.S., PH. D, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-15",
        "last_updated": "2012-11-15",
        "status": "A",
        "authorized_official_last_name": "GUY",
        "authorized_official_first_name": "WARREN",
        "authorized_official_middle_name": "STACY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "936-634-6119",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "TX8431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Dentistry of East Texas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lufkin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; 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.