Jerome Alan Guttman, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

29600 Issued in CA

Practice address

211 Culver Blvd
Suite T
Playa del Rey, CA 90293-7788

Phone

(310) 827-5094

Fax

(310) 821-3417

NPI assigned

Jan 26, 2007

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

Enrolled in CA

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.

Enrollment records 1

Medicare enrollment (NPD)

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.

• Jerome a Guttman Dental Practice, Inc

  • Dental Clinic/Center
  • Playa del Rey, CA
  • NPI 1013213131
  NPD (past) Authorized official
• Dr.Robert Nolan

  • General Practice Dentistry
  • Playa del Rey, CA
  • NPI 1336236553
  NPD (past)

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297036800000",
    "number": "1598811846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 CULVER BLVD",
            "address_2": "SUITE T",
            "city": "PLAYA DEL REY",
            "state": "CA",
            "postal_code": "902937788",
            "telephone_number": "310-827-5094",
            "fax_number": "310-821-3417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 CULVER BLVD",
            "address_2": "SUITE T",
            "city": "PLAYA DEL REY",
            "state": "CA",
            "postal_code": "902937788",
            "telephone_number": "310-827-5094",
            "fax_number": "310-821-3417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTTMAN",
        "first_name": "JEROME",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2011-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "29600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rush David Goodman, D.M.D.
• Lucinda Charnley Gray, PH.D.
• John Robert Green, L.C.S.W.
• Dixon Griffin
• Julie Grimmett, M.S. CCC-SLP
• Douglas Hales, LMFT
• Joshua Jay Hawkins, DPT
• Nidia Hernandez, LCSW, MSW, MPA
• Kim Higley, RD
• Brandon Charles Hockaday

• General Practice Dentistry in Playa del Rey, CA
• Providers in Playa del Rey, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.