Richard Gutierrez, DDS MS

Primary specialty

DentistTaxonomy code 122300000X

License

38687 Issued in CA

Practice address

1825 University Ave
Riverside, CA 92507

Phone

(951) 781-7878

Fax

(951) 781-8654

NPI assigned

Sep 20, 2006

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

Credentials

Master of Science

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.

• Dr. Richard Gutierrez DDS,Ms, Inc.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • El Centro, CA
  • NPI 1962558981
  NPD Authorized official
• Campus Family Dentistry

  • General Practice Dentistry
  • Riverside, CA
  • NPI 1164649034
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633478400000",
    "number": "1558469890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 UNIVERSITY AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925075345",
            "telephone_number": "951-781-7878",
            "fax_number": "951-781-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 UNIVERSITY AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "92507",
            "telephone_number": "951-781-7878",
            "fax_number": "951-781-8654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "RICHARD",
        "credential": "DDS MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "38687",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST",
            "identifier": "122300000X",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monica Gutierrez
• Olga Gutierrez
• Raul Gutierrez
• Raylene Elizabeth Gutierrez
• Rebecca Gutierrez
• Rigoberto Gutierrez Jr., P.A.
• Roberta Gutierrez, LVN
• Sarah Elizabeth Gutierrez
• Sharon Fayette Gutierrez
• Susanne Allison Gutierrez

• Dentist in Riverside, CA
• Providers in Riverside, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2021; 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.