Active NPI
Jose Adrian Guerra Chico, DMD
- Dentist
- Melbourne, FL
National Provider Identifier
1760862874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN 21222
- Practice address
- 3226 Lake Washington Rd
Melbourne, FL 32934-7620 - Phone
- (321) 255-1991
- NPI assigned
- Jun 3, 2015
- Last updated
- Jun 3, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN 21222 | FL | Primary |
Addresses
Primary practice location
3226 Lake Washington Rd
Melbourne, FL 32934-7620
Mailing address
6080 Forest Hill Blvd Apt 207
West Palm Beach, FL 33415-6202
Phone (201) 314-0510
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN 21222 | FL | MD | Dentist |
Networks
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433289600000",
"number": "1760862874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6080 FOREST HILL BLVD APT 207",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334156202",
"telephone_number": "201-314-0510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3226 LAKE WASHINGTON RD",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329347620",
"telephone_number": "321-255-1991"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUERRA CHICO",
"first_name": "JOSE",
"middle_name": "ADRIAN",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-03",
"last_updated": "2015-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN 21222",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.