Active NPI
William Lee Guth, DDS
- Dentist
- The Dalles, OR
National Provider Identifier
1720088040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D5892
- Practice address
- 501 E 7TH St
The Dalles, OR 97058-2677 - Phone
- (541) 298-4411
- Fax
- (541) 298-7798
- NPI assigned
- Jul 28, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | D5892 | OR | Primary |
Addresses
Primary practice location
501 E 7TH St
The Dalles, OR 97058-2677
Mailing address
501 E 7TH St
The Dalles, OR 97058
Phone (541) 298-4411
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 150587 | Medicaid | OR |
Other names 1
- Bill Lee Guth
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5892 | OR | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dalles Dental Care LLC | Dentist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- The Dalles, OR
- NPI 1972924215
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295308800000",
"number": "1720088040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 E 7TH ST",
"city": "THE DALLES",
"state": "OR",
"postal_code": "97058",
"telephone_number": "541-298-4411",
"fax_number": "541-298-7798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 E 7TH ST",
"city": "THE DALLES",
"state": "OR",
"postal_code": "970582677",
"telephone_number": "541-298-4411",
"fax_number": "541-298-7798"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTH",
"first_name": "WILLIAM",
"middle_name": "LEE",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-28",
"last_updated": "2011-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OR",
"license": "D5892",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "150587",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BILL",
"last_name": "GUTH",
"middle_name": "LEE",
"credential": "DDS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in The Dalles, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.