Active NPI
Maria Cecilia Fernandez Guerra, DMD
- Dentist
- Quincy, MA
National Provider Identifier
1659503811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 56839
- Practice address
- 333 Ricciuti Dr
Apt 124
Quincy, MA 02169-6287 - Phone
- (617) 481-9399
- NPI assigned
- Aug 20, 2009
- Last updated
- Aug 20, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 56839 | CA | Primary |
Addresses
Primary practice location
333 Ricciuti Dr
Apt 124
Quincy, MA 02169-6287
Mailing address
333 Ricciuti Dr
Apt 124
Quincy, MA 02169-6287
Phone (617) 481-9399
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56839 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250726400000",
"number": "1659503811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 RICCIUTI DR",
"address_2": "APT 124",
"city": "QUINCY",
"state": "MA",
"postal_code": "021696287",
"telephone_number": "617-481-9399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 RICCIUTI DR",
"address_2": "APT 124",
"city": "QUINCY",
"state": "MA",
"postal_code": "021696287",
"telephone_number": "617-481-9399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUERRA",
"first_name": "MARIA CECILIA",
"middle_name": "FERNANDEZ",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-20",
"last_updated": "2009-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "56839",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Quincy, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.