Individual provider Active NPI

Luis Gerardo Guzman Suarez, DDS, MS, DMD

  • Periodontics
  • Auburn, AL
National Provider Identifier
1790344406
Registry record updated Jun 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
0006625 Issued in AL
Practice address
670 N College St Ste D
Auburn, AL 36830-3030
Phone
(334) 209-1352
Fax
(334) 460-9728
NPI assigned
Jun 7, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 0006625 AL
Periodontics 1223P0300X 0006625 AL Primary

Addresses

Primary practice location

670 N College St Ste D
Auburn, AL 36830-3030

Mailing address

670 N College St Ste D
Auburn, AL 36830-3030
Phone (334) 209-1352

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
0006625ALMDProsthodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Auburn Periodontics and Implant Dentistry, PC Periodontics Past Accepting new patients
Auburn Implant Dentistry, LLC Periodontics PastSince Aug 7, 2022 Accepting new patients
Auburn Periodontics of Columbus, LLC Periodontics PastSince Sep 8, 2019 Accepting new patients

Organizations & group practices 3

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": "1559865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559865600000",
    "number": "1790344406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 N COLLEGE ST STE D",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368303030",
            "telephone_number": "334-209-1352",
            "fax_number": "334-460-9728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 N COLLEGE ST STE D",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368303030",
            "telephone_number": "334-209-1352",
            "fax_number": "334-460-9728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUZMAN SUAREZ",
        "first_name": "LUIS",
        "middle_name": "GERARDO",
        "name_prefix": "Dr.",
        "credential": "DDS, MS, DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-07",
        "last_updated": "2019-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "AL",
            "license": "0006625",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "AL",
            "license": "0006625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2019; 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.