Nelson Guanche, DMD, MDS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DI02720200 Issued in NJ

Practice address

339 Somerset St
North Plainfield, NJ 07060-4729

Phone

(786) 302-1856

NPI assigned

Jul 26, 2018

Last updated

Oct 11, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1532563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1679050140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 BALDWIN AVE APT 709",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073062085",
            "telephone_number": "786-302-1856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 SOMERSET ST",
            "city": "NORTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070604729",
            "telephone_number": "786-302-1856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUANCHE",
        "first_name": "NELSON",
        "name_prefix": "Dr.",
        "credential": "DMD, MDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-26",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NJ",
            "license": "DI02720200",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI02720200",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• David A Goldberg, DMD
• Elke Graf, L.S.W
• Joya Gray
• Laura C Hanlon
• Hanumana Medical Supply LLC
• Hashicorop Medical Services LLC
• Salma Hassanin
• Helping Hands Healthcare Services, LLC

• Endodontics in North Plainfield, NJ
• Providers in North Plainfield, NJ by specialty
• Endodontics in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; 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.