Individual provider Active NPI

Jing Guo, BDS, MS, PHD

  • Endodontics
  • Houston, TX
National Provider Identifier
1699270199
Registry record updated Nov 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
33519 Issued in TX
Practice address
5020 Cypress Creek Pkwy Ste B1
Houston, TX 77069-4521
Phone
(213) 509-1701
NPI assigned
Mar 27, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223E0200X 33519 TX Primary

Addresses

Primary practice location

5020 Cypress Creek Pkwy Ste B1
Houston, TX 77069-4521

Mailing address

5020 Cypress Creek Pkwy Ste B1
Houston, TX 77069-4521
Phone (281) 580-9058

Other practice location 1

11092 Anderson Street Prince Hall 4401
Loma Linda, CA 92350-0001
Phone (909) 558-4681

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
Credentials
Master of Science, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
33519TXMDSpeech-Language Assistant

NPI Registry JSON

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

{
    "created_epoch": "1522108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574640000000",
    "number": "1699270199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5020 CYPRESS CREEK PKWY STE B1",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770694521",
            "telephone_number": "281-580-9058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5020 CYPRESS CREEK PKWY STE B1",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770694521",
            "telephone_number": "213-509-1701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11092 Anderson Street Prince Hall 4401",
            "address_purpose": "LOCATION",
            "city": "Loma Linda",
            "state": "CA",
            "postal_code": "923500001",
            "country_code": "US",
            "telephone_number": "909-558-4681",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUO",
        "first_name": "JING",
        "credential": "BDS, MS, PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-27",
        "last_updated": "2019-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "TX",
            "license": "33519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2019; 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.