Joseph Walter Guerard, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

5001817 Issued in WI

Practice address

325 E Main St
Winneconne, WI 54986-9703

Phone

(920) 582-4343

Fax

(920) 582-2625

NPI assigned

Sep 20, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518065952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 E MAIN ST",
            "address_2": "P.O.BOX 490",
            "city": "WINNECONNE",
            "state": "WI",
            "postal_code": "549869703",
            "telephone_number": "920-582-4343",
            "fax_number": "920-582-2625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 E MAIN ST",
            "city": "WINNECONNE",
            "state": "WI",
            "postal_code": "549869703",
            "telephone_number": "920-582-4343",
            "fax_number": "920-582-2625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERARD",
        "first_name": "JOSEPH",
        "middle_name": "WALTER",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "5001817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33350900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Winneconne, WI
• Providers in Winneconne, WI by specialty
• Dentist in Wisconsin

• 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.

Verify at the official NPI Registry.