Organization Active NPI

Dr. John Anthony Guerrieri

  • General Practice Dentistry
  • Walworth, NY
National Provider Identifier
1730200700
Registry record updated Oct 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
045749 Issued in NY
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, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2014

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.NPI 1851407894
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.