Individual provider Active NPI

David S Guggenheim, DPM

  • Podiatrist
  • Kennett Square, PA
National Provider Identifier
1841220381
Registry record updated May 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC002026L Issued in PA
Practice address
692 Unionville Rd
Kennett Square, PA 19348-1704
Phone
(610) 444-6520
Fax
(610) 444-2232
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X E10000068 DE
Podiatrist 213E00000X SC002026L PA Primary

Addresses

Primary practice location

692 Unionville Rd
Kennett Square, PA 19348-1704

Mailing address

685 Unionville Rd
Kennett Square, PA 19348
Phone (610) 444-6520

Other practice location 1

685 Unionville Rd
Kennett Square, PA 19348
Phone (610) 444-6520 ext. 22

Other identifiers 2

IdentifierTypeStateIssuer
001035350MedicaidPA
0000202817MedicaidDE

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

LicenseStateTypeSpecialty
E10000068DEMDPodiatrist

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526947200000",
    "number": "1841220381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "685 UNIONVILLE RD",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "19348",
            "telephone_number": "610-444-6520",
            "fax_number": "610-444-9571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "692 UNIONVILLE RD",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193481704",
            "telephone_number": "610-444-6520",
            "fax_number": "610-444-2232"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "685 Unionville Rd",
            "address_purpose": "LOCATION",
            "city": "Kennett Square",
            "state": "PA",
            "postal_code": "19348",
            "country_code": "US",
            "telephone_number": "610-444-6520 x22",
            "fax_number": "610-444-9571",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUGGENHEIM",
        "first_name": "DAVID",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2018-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "DE",
            "license": "E10000068",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC002026L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001035350",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000202817",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennett Square, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2018; 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.