Guillermo Betancourt Martinez, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

39534 Issued in TX

Practice address

501 20TH St
Hondo, TX 78861-2507

Phone

(830) 426-3304

NPI assigned

Feb 22, 2023

Last updated

Nov 17, 2024By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• G. Betancourt DDS PLLC

  dba Countryside Dental

  • Dental Clinic/Center
  • Hondo, TX
  • NPI 1487479382
  NPD Authorized official

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

{
    "created_epoch": "1677024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731801600000",
    "number": "1487352019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 20TH ST",
            "city": "HONDO",
            "state": "TX",
            "postal_code": "788612507",
            "telephone_number": "830-426-3304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 20TH ST",
            "city": "HONDO",
            "state": "TX",
            "postal_code": "788612507",
            "telephone_number": "830-426-3304"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "606 W Leona St",
            "address_purpose": "LOCATION",
            "city": "Dilley",
            "state": "TX",
            "postal_code": "780173705",
            "country_code": "US",
            "telephone_number": "830-965-1797",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BETANCOURT MARTINEZ",
        "first_name": "GUILLERMO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-22",
        "last_updated": "2024-11-17",
        "certification_date": "2024-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "39534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amity Fellowserve of Hondo, Inc. (Hondo Healthcare & Rehabilitation Center)
• Lindsay Valentine Anderegg, CRNA
• Chastity Mercedes Barrios
• Erin Ashley Beck, COTA
• Benjamin McCollum MD PLLC
• Jillian Blum, OTR
• Brandon Blaker O D P C (Hill Country Vision Center)
• Brenda Burell
• Billy Pat Butler, RPH
• Niko Ryan Caballes, PHARMD

• General Practice Dentistry in Hondo, TX
• Providers in Hondo, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2024; 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.