Galvan-Guerrero Dental Office

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

48113 Issued in CA

Legal business name

GALVAN-GUERRERO DENTAL OFFICE

Practice address

389 Gresel St
Hayward, CA 94544-7642

Phone

(510) 952-9936

NPI assigned

Oct 14, 2014

Organization subpart

No

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

Authorized official

Name

Paul Te Respicio

Title

Administrator

Phone

(510) 952-9936

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1413244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413244800000",
    "number": "1740684158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "389 GRESEL ST",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945447642",
            "telephone_number": "510-952-9936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "389 GRESEL ST",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945447642",
            "telephone_number": "510-952-9936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALVAN-GUERRERO DENTAL OFFICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-14",
        "last_updated": "2014-10-14",
        "status": "A",
        "authorized_official_last_name": "RESPICIO",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "TE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "510-952-9936"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "44172",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "48113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Hayward, CA
• Providers in Hayward, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.