Timothy Aaron Gutierrez, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

23353 Issued in TX

Practice address

21703 Kingsland Blvd
#104
Katy, TX 77450-2520

Phone

(713) 540-8877

NPI assigned

Jul 5, 2007

Last updated

Oct 3, 2011By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jun 14, 2016 through Jun 14, 2028

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dental Health Associates of Texas, PC

  dba Katy Family Dentists

  • General Practice Dentistry
  • Katy, TX
  • NPI 1043726169
  NPD (past)

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317600000000",
    "number": "1588862015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21703 KINGSLAND BLVD",
            "address_2": "#104",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774502520",
            "telephone_number": "713-540-8877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21703 KINGSLAND BLVD",
            "address_2": "#104",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774502520",
            "telephone_number": "713-540-8877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "TIMOTHY",
        "middle_name": "AARON",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-05",
        "last_updated": "2011-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "23353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elisa Lynn Gutierrez, LPC
• Jessica Gutierrez
• Linh Hue Gutierrez, PA-C
• Nicole Rangel Gutierrez, AGACNP
• Regina E Gutierrez, COTA
• Veronica Gutierrez
• Sydny Guy
• Volkan B Guzel, MD
• Mayra Yoselin Guzman Hernandez
• Clarissa Guzman

• General Practice Dentistry in Katy, TX
• Providers in Katy, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.