Active NPI
Stephanie Spain Guerrier, DDS
- General Practice Dentistry
- Wake Forest, NC
National Provider Identifier
1467010405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 11394
- Practice address
- 3415 Rogers Rd
Wake Forest, NC 27587-3809 - Phone
- (919) 554-9955
- NPI assigned
- Jun 4, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 11394 | NC | |
| General Practice Dentistry | 1223G0001X | 11394 | NC | Primary |
Addresses
Primary practice location
3415 Rogers Rd
Wake Forest, NC 27587-3809
Mailing address
803 Carved Oak Dr
Durham, NC 27707-5185
Phone (704) 677-3701
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11394 | NC | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559606400000",
"number": "1467010405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "803 CARVED OAK DR",
"city": "DURHAM",
"state": "NC",
"postal_code": "277075185",
"telephone_number": "704-677-3701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3415 ROGERS RD",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "275873809",
"telephone_number": "919-554-9955"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUERRIER",
"first_name": "STEPHANIE",
"middle_name": "SPAIN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-04",
"last_updated": "2019-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "11394",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "11394",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wake Forest, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.