Active NPI
Anthony Joseph Guido, DDS
- Dentist
- Berwyn, IL
National Provider Identifier
1821196643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 19015126
- Practice address
- 3340 Oak Park Ave
Suite 308
Berwyn, IL 60402-3420 - Phone
- (708) 484-0212
- Fax
- (708) 484-0248
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 19015126 | IL | Primary |
Addresses
Primary practice location
3340 Oak Park Ave
Suite 308
Berwyn, IL 60402-3420
Mailing address
22911 Wigeon CT
Plainfield, IL 60585-2462
Phone (815) 436-8762
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19015126 | IL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1821196643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22911 WIGEON CT",
"city": "PLAINFIELD",
"state": "IL",
"postal_code": "605852462",
"telephone_number": "815-436-8762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3340 OAK PARK AVE",
"address_2": "SUITE 308",
"city": "BERWYN",
"state": "IL",
"postal_code": "604023420",
"telephone_number": "708-484-0212",
"fax_number": "708-484-0248"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUIDO",
"first_name": "ANTHONY",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "19015126",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Berwyn, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.