John Joseph Gutierrez, DDS, MPH

Primary specialty

DentistTaxonomy code 122300000X

License

110653 Issued in CA

Practice address

3087 McKee Rd
San Jose, CA 95127-1835

Phone

(408) 509-5399

NPI assigned

Sep 2, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Dignity Dental Care Sr Corp

  • General Practice Dentistry
  • San Jose, CA
  • NPI 1164161931
  NPD

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

{
    "created_epoch": "1725235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725235200000",
    "number": "1811721707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "938 3RD ST APT 306",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904032536",
            "telephone_number": "310-721-8155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3087 MCKEE RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951271835",
            "telephone_number": "408-509-5399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "JOHN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DDS, MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-02",
        "last_updated": "2024-09-02",
        "certification_date": "2024-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "110653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edith Alessandra Gutierrez
• George Munoz Gutierrez, MS
• Isaac Abraham Gutierrez, LCSW
• Isela Yazmin Gutierrez
• John Gutierrez
• Joshua Gutierrez
• Lisette Gutierrez, LCSW 129069
• Mandy Rose Gutierrez, LMFT
• Mario Vilchis Gutierrez
• Martha Lizbeth Gutierrez

• Dentist in San Jose, CA
• Providers in San Jose, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2024; 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.