Organization Active NPI

Dr. Shuang Guo, PC

  • Dentist
  • Ridgefield Park, NJ
National Provider Identifier
1760069033
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
DR. SHUANG GUO, PC
Practice address
195 Euclid Ave
Ridgefield Park, NJ 07660-1710
Phone
(201) 641-1111
Fax
(201) 425-7097
NPI assigned
Mar 24, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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

Authorized official

Name
Dr. Shuang Guo, DDSNPI 1467993162
Title
Owner
Phone
(347) 536-4310

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

195 Euclid Ave
Ridgefield Park, NJ 07660-1710

Mailing address

195 Euclid Ave
Ridgefield Park, NJ 07660-1710
Phone (201) 641-1111

Other names 1

  • Smile with Grace Dental Care Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1616544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689120000000",
    "number": "1760069033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 EUCLID AVE",
            "city": "RIDGEFIELD PARK",
            "state": "NJ",
            "postal_code": "076601710",
            "telephone_number": "201-641-1111",
            "fax_number": "201-425-7097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 EUCLID AVE",
            "city": "RIDGEFIELD PARK",
            "state": "NJ",
            "postal_code": "076601710",
            "telephone_number": "201-641-1111",
            "fax_number": "201-425-7097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. SHUANG GUO, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-24",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A",
        "authorized_official_last_name": "GUO",
        "authorized_official_first_name": "SHUANG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-536-4310",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile with Grace Dental Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ridgefield Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; 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.