Active NPI
Dr. John Anthony Guerrieri
- General Practice Dentistry
- Walworth, NY
National Provider Identifier
1730200700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 045749
- Legal business name
- DR. JOHN ANTHONY GUERRIERI
- Practice address
- 2100 Walworth Penfield Rd.
Walworth, NY 14568 - Phone
- (315) 986-1144
- NPI assigned
- Apr 3, 2007
- Last updated
- Oct 30, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John A. Guerrieri, D.D.S.
- Title
- Owner
- Phone
- (315) 986-1144
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 045749 | NY | Primary |
Addresses
Primary practice location
2100 Walworth Penfield Rd.
Walworth, NY 14568
Mailing address
2100 Walworth Penfield Rd
Walworth, NY 14568
Phone (315) 986-1144
National Provider Directory
National Provider DirectoryLocations
2100 Walworth Penfield Rd
Walworth, NY 14568
Phone (315) 986-1144
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- Walworth, NY
- NPI 1851407894
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1414627200000",
"number": "1730200700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 WALWORTH PENFIELD RD",
"city": "WALWORTH",
"state": "NY",
"postal_code": "14568",
"telephone_number": "315-986-1144",
"fax_number": "585-216-9233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 WALWORTH PENFIELD RD.",
"city": "WALWORTH",
"state": "NY",
"postal_code": "14568",
"telephone_number": "315-986-1144"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR. JOHN ANTHONY GUERRIERI",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-03",
"last_updated": "2014-10-30",
"status": "A",
"authorized_official_last_name": "GUERRIERI",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "315-986-1144",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "045749",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Walworth, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.