Active NPI
Jing Guo, BDS, MS, PHD
- Endodontics
- Houston, TX
National Provider Identifier
1699270199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 33519
- 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
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 |
|---|---|---|---|---|
| Endodontics | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 33519 | TX | MD | Speech-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.