Organization Active NPI

Philip C Guevarra DDS Inc.

  • General Practice Dentistry
  • Chico, CA
National Provider Identifier
1487919676
Registry record updated Jul 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
55888 Issued in CA
Legal business name
PHILIP C GUEVARRA DDS INC.
Practice address
955 East Ave
Chico, CA 95926-1308
Phone
(530) 893-5334
Fax
(530) 893-2841
NPI assigned
Jul 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2012

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

Authorized official

Name
Dr. Philip De la Cruz Guevarra, DDSNPI 1427248152
Title
President
Phone
(530) 894-5334

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 55888 CA Primary

Addresses

Primary practice location

955 East Ave
Chico, CA 95926-1308

Mailing address

955 East Ave
Chico, CA 95926-1308
Phone (530) 893-5334

Other names 1

  • Chico Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

955 East Ave
Chico, CA 95926
Phone (530) 893-5334

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1342051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342051200000",
    "number": "1487919676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 EAST AVE",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959261308",
            "telephone_number": "530-893-5334",
            "fax_number": "530-893-2841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 EAST AVE",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959261308",
            "telephone_number": "530-893-5334",
            "fax_number": "530-893-2841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP C GUEVARRA DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-12",
        "last_updated": "2012-07-12",
        "status": "A",
        "authorized_official_last_name": "GUEVARRA",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "DE LA CRUZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-894-5334",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "55888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chico Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chico, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.