Amanda Guerrero, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE60409344 Issued in WA

Practice address

100 W. Harrison Street
Suite #150, North Tower
Seattle, WA 98119-4215

Phone

(206) 284-4412

NPI assigned

Jun 25, 2013

Sex

Female

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

Enrolled in WA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Guerrero & Song DDS PLLC

  • Dental Clinic/Center
  • Seattle, WA
  • NPI 1003391624
  NPD (past)

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

{
    "created_epoch": "1372118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538092800000",
    "number": "1831539774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W. HARRISON STREET",
            "address_2": "SUITE #150, NORTH TOWER",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981194116",
            "telephone_number": "206-284-4412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W. HARRISON STREET",
            "address_2": "SUITE #150, NORTH TOWER",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981194215",
            "telephone_number": "206-284-4412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRERO",
        "first_name": "AMANDA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-25",
        "last_updated": "2018-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60409344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heidi Sunshine Guenther, LMP
• Yvonne Guerin
• Sarunya Guerquin
• David Stephen Guerrant, RBT
• Guerrero & Song DDS PLLC
• Jade Marie Guerrero
• Lorenzo Guerrero
• Marco Mateo Guerrero, RRT
• Paola Guerrero
• Chiara Guerrieri, LMP

• General Practice Dentistry in Seattle, WA
• Providers in Seattle, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.