Individual provider Active NPI

James S Guirguis, DDS

  • General Practice Dentistry
  • Richardson, TX
National Provider Identifier
1497042345
Registry record updated Jun 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
26375 Issued in TX
Practice address
1231 E Belt Line Rd
Suite 103
Richardson, TX 75081-3748
Phone
(972) 690-8617
Fax
(972) 690-6423
NPI assigned
Jun 29, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 26375 TX Primary

Addresses

Primary practice location

1231 E Belt Line Rd
Suite 103
Richardson, TX 75081-3748

Mailing address

1231 E Belt Line Rd
Suite 103
Richardson, TX 75081-3748
Phone (972) 690-8617

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150407001083 TX Order and Referring Only - DentistPractitioner - Dentist 0547588345

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26375TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Richardson Dentistry, PLLC General Practice Past Accepting new patients
Jay L. Nutt & C. Fred Pietsch, DDS, Inc Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1309305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309305600000",
    "number": "1497042345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1231 E BELT LINE RD",
            "address_2": "SUITE 103",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750813748",
            "telephone_number": "972-690-8617",
            "fax_number": "972-690-6423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1231 E BELT LINE RD",
            "address_2": "SUITE 103",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750813748",
            "telephone_number": "972-690-8617",
            "fax_number": "972-690-6423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUIRGUIS",
        "first_name": "JAMES",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-29",
        "last_updated": "2011-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "26375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

Verify at the official NPI Registry.