Organization Active NPI

Esguerra Dental Implant Associates of Duluth

  • Prosthodontics
  • Duluth, MN
National Provider Identifier
1649850892
Registry record updated Apr 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
Legal business name
ESGUERRA DENTAL IMPLANT ASSOCIATES OF DULUTH
Practice address
324 W Superior St Ste 1212
Duluth, MN 55802-1712
Phone
(720) 467-1726
NPI assigned
Apr 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2021

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

Authorized official

Name
Dr. Roxanna Jean Esguerra, DDS, MSNPI 1366890733
Title
President
Phone
(218) 722-8118

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ProsthodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0700X Primary

Addresses

Primary practice location

324 W Superior St Ste 1212
Duluth, MN 55802-1712

Mailing address

324 W Superior St Ste 1212
Duluth, MN 55802-1712
Phone (720) 467-1726

Other names 1

  • Dental Implant & Reconstructive Center Doing business as

National Provider Directory

National Provider Directory

Locations

324 W Superior St
Ste 1212
Duluth, MN 55802
Phone (218) 722-8118

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1618185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618185600000",
    "number": "1649850892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 W SUPERIOR ST STE 1212",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558021712",
            "telephone_number": "720-467-1726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 W SUPERIOR ST STE 1212",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558021712",
            "telephone_number": "720-467-1726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESGUERRA DENTAL IMPLANT ASSOCIATES OF DULUTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-12",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A",
        "authorized_official_last_name": "ESGUERRA",
        "authorized_official_first_name": "ROXANNA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "218-722-8118",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Implant & Reconstructive Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Duluth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.