Individual provider Active NPI

Anna Maria Guglielmo, DDS

  • Endodontics
  • Rocky River, OH
National Provider Identifier
1770793564
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
20141 Issued in OH
Practice address
22255 Center Ridge Rd Ste 204
Rocky River, OH 44116-3972
Phone
(440) 333-1007
Fax
(440) 333-1229
NPI assigned
May 23, 2007
Sex
Female
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
Endodontics 1223E0200X 20141 OH Primary

Addresses

Primary practice location

22255 Center Ridge Rd Ste 204
Rocky River, OH 44116-3972

Mailing address

22255 Center Ridge Rd Ste 204
Rocky River, OH 44116-3972
Phone (440) 333-1007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20150605001596 OH Order and Referring Only - DentistPractitioner - Dentist 1557682218

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20141OHMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Endodontic Associates Endodontics Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770793564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22255 CENTER RIDGE RD STE 204",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441163972",
            "telephone_number": "440-333-1007",
            "fax_number": "440-333-1229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22255 CENTER RIDGE RD STE 204",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441163972",
            "telephone_number": "440-333-1007",
            "fax_number": "440-333-1229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUGLIELMO",
        "first_name": "ANNA",
        "middle_name": "MARIA",
        "name_prefix": "Ms.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "OH",
            "license": "20141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky River, OH

Sources for this page

Verify at the official NPI Registry.