Active NPI
Omar I Guerra, DDS
- Dentist
- San Marcos, TX
National Provider Identifier
1497849103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 16836
- Practice address
- 1305 Wonder World Dr.
Suite 303
San Marcos, TX 78666 - Phone
- (512) 396-3727
- Fax
- (512) 878-2403
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 16836 | TX | Primary |
Addresses
Primary practice location
1305 Wonder World Dr.
Suite 303
San Marcos, TX 78666
Mailing address
1305 Wonder World Dr.
Suite 303
San Marcos, TX 78666
Phone (512) 396-3727
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 120875303 | Medicaid | TX |
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 |
|---|---|---|---|
| 16836 | TX | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742256000000",
"number": "1497849103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1305 WONDER WORLD DR.",
"address_2": "SUITE 303",
"city": "SAN MARCOS",
"state": "TX",
"postal_code": "78666",
"telephone_number": "512-396-3727",
"fax_number": "512-878-2403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1305 WONDER WORLD DR.",
"address_2": "SUITE 303",
"city": "SAN MARCOS",
"state": "TX",
"postal_code": "78666",
"telephone_number": "512-396-3727",
"fax_number": "512-878-2403"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUERRA",
"first_name": "OMAR",
"middle_name": "I",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2025-03-18",
"certification_date": "2025-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "16836",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "120875303",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Marcos, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.