Individual provider Active NPI

Lourdes Isabela Guerra Guajardo

  • Pediatric Dentistry
  • Spring, TX
National Provider Identifier
1780257055
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
42021 Issued in TX
Practice address
2833 Riley Fuzzel Rd Ste 500
Spring, TX 77386-4668
Phone
(281) 528-9900
NPI assigned
Jul 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 42021 TX Primary

Addresses

Primary practice location

2833 Riley Fuzzel Rd Ste 500
Spring, TX 77386-4668

Mailing address

2833 Riley Fuzzel Rd Ste 500
Spring, TX 77386-4668
Phone (281) 528-9900

Other practice location 1

1601 Main St Ste 307
Richmond, TX 77469-3230
Phone (281) 238-4746

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20211115001198 CT Order and Referring Only - DentistPractitioner - Dentist 2466841317

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
42021TXMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Childrens Dentistry of Texas Pediatric Dentistry 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1626998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769040000000",
    "number": "1780257055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2833 RILEY FUZZEL RD STE 500",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773864668",
            "telephone_number": "281-528-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2833 RILEY FUZZEL RD STE 500",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773864668",
            "telephone_number": "281-528-9900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 Main St Ste 307",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "TX",
            "postal_code": "774693230",
            "country_code": "US",
            "telephone_number": "281-238-4746",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUERRA GUAJARDO",
        "first_name": "LOURDES",
        "middle_name": "ISABELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-23",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "42021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

Verify at the official NPI Registry.