Individual provider Active NPI

Guy Rocco Biagiotti, DDS

  • General Practice Dentistry
  • Tustin, CA
National Provider Identifier
1740206986
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
39757 Issued in CA
Practice address
1442 Irvine Blvd Ste 116
Tustin, CA 92780-3845
Phone
(714) 838-0540
Fax
(714) 838-9031
NPI assigned
Jul 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 39757 CA Primary

Addresses

Primary practice location

1442 Irvine Blvd Ste 116
Tustin, CA 92780-3845

Mailing address

1442 Irvine Blvd Ste 116
Tustin, CA 92780-3845
Phone (714) 838-0540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160212000422 CA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 9436453354

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740206986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1442 IRVINE BLVD STE 116",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803845",
            "telephone_number": "714-838-0540",
            "fax_number": "714-838-9031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1442 IRVINE BLVD STE 116",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803845",
            "telephone_number": "714-838-0540",
            "fax_number": "714-838-9031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIAGIOTTI",
        "first_name": "GUY",
        "middle_name": "ROCCO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "39757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tustin, CA

Sources for this page

Verify at the official NPI Registry.