Manuel Gutierrez, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9728 Issued in AZ

Practice address

41620 W Maricopa Casa Grande Hwy Ste 110
Maricopa, AZ 85138-3217

Phone

(520) 568-2800

NPI assigned

Jun 24, 2017

Sex

Male

Sole proprietor

Yes

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

State licenses

Practice roles

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.

• Dentists at Ironwood Crossing, LLP

  • General Practice Dentistry
  • Queen Creek, AZ
  • NPI 1245874940
  NPD (past) Authorized official
• Maricopa Smiles Dentistry and Orthodontics, LLP

  • Dentist
  • Irvine, CA
  • NPI 1619212651
  NPD (past)

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

{
    "created_epoch": "1498262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498262400000",
    "number": "1508386129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2835 W CHANUTE PASS",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850413448",
            "telephone_number": "602-384-8139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41620 W MARICOPA CASA GRANDE HWY STE 110",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851383217",
            "telephone_number": "520-568-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "MANUEL",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-24",
        "last_updated": "2017-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "9728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanne Kathleen Greifer, RN
• Paul Willis Grover
• Lleva Groves, PMHNP-BC
• Anna Maria Guadalupe
• Guided Grace Behavioral Health, LLC
• Richard Gutoski, RPH.
• Grace Gyan
• Angela Hacker
• Brandon Hadnot, LMT
• Andre Hall

• General Practice Dentistry in Maricopa, AZ
• Providers in Maricopa, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2017; 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.