Individual provider Active NPI

David Guyot

  • Dentist
  • Bowling Green, KY
National Provider Identifier
1649475773
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
11067 Issued in KY
Practice address
1025 Ashley St Ste a
Bowling Green, KY 42103-3406
Phone
(217) 540-8250
NPI assigned
Jun 19, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 11067 KY Primary
Dentist 122300000X 35499 CA
Dentist 122300000X 11223 TN
Dentist 122300000X 2023041410 MO

Addresses

Primary practice location

1025 Ashley St Ste a
Bowling Green, KY 42103-3406

Mailing address

1025 Ashley St Ste a
Bowling Green, KY 42103-3406

Other practice location 1

1520 S 5th St Ste 103
Saint Charles, MO 63303-4127
Phone (636) 493-6494

Medicare participation

Medicare enrollment files
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 Jul 7, 2016 through Jul 7, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
35499CAMDDentist
11067KYMDDentist
2023041410MOMDDentist
11223TNMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Diane Boval DDS a Professional Dental Corp Dentist Past Accepting new patients
Missouri Dental Professionals, Richard Straus, DMD, PC PastSince Dec 10, 2023 Accepting new patients

Organizations & group practices 2

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": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1649475773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 ASHLEY ST STE A",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421033406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 ASHLEY ST STE A",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421033406",
            "telephone_number": "217-540-8250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1520 S 5th St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Saint Charles",
            "state": "MO",
            "postal_code": "633034127",
            "country_code": "US",
            "telephone_number": "636-493-6494",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUYOT",
        "first_name": "DAVID",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-19",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "11067",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "35499",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "11223",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2023041410",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

Verify at the official NPI Registry.