Active NPI
Preeti P Guido, D.M.D.
- General Practice Dentistry
- Lodi, NJ
National Provider Identifier
1508885641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 22DI07142200
- Practice address
- 2 S Main St
Lodi, NJ 07644-2228 - Phone
- (973) 779-4088
- Fax
- (973) 778-2265
- NPI assigned
- Jul 19, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 22DI07142200 | NJ | Primary |
Addresses
Primary practice location
2 S Main St
Lodi, NJ 07644-2228
Mailing address
2 S Main St
Lodi, NJ 07644-2228
Phone (973) 779-4088
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5169607 | Medicaid | NJ |
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 |
|---|---|---|---|
| 22DI07142200 | NJ | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guido & Bair, L.L.C. | General Practice | Past | Accepting new patients |
Organizations & group practices 1
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": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508885641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 S MAIN ST",
"city": "LODI",
"state": "NJ",
"postal_code": "076442228",
"telephone_number": "973-779-4088",
"fax_number": "973-778-2265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 S MAIN ST",
"city": "LODI",
"state": "NJ",
"postal_code": "076442228",
"telephone_number": "973-779-4088",
"fax_number": "973-778-2265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUIDO",
"first_name": "PREETI",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NJ",
"license": "22DI07142200",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5169607",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lodi, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.