John Anthony Guerrieri, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

045749 Issued in NY

Practice address

2100 Walworth Penfield Rd
Walworth, NY 14568

Phone

(315) 986-1144

NPI assigned

Aug 22, 2006

Last updated

Oct 30, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 NY

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cedarfield Dental, PLLC

  • General Practice Dentistry
  • Rochester, NY
  • NPI 1104281898
  Authorized official Same address or phone
• Dr. John Anthony Guerrieri

  • General Practice Dentistry
  • Walworth, NY
  • NPI 1730200700
  NPD (past) Authorized official

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414627200000",
    "number": "1851407894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 WALWORTH PENFIELD RD",
            "city": "WALWORTH",
            "state": "NY",
            "postal_code": "14568",
            "telephone_number": "315-986-1144",
            "fax_number": "315-986-9308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 WALWORTH PENFIELD RD",
            "city": "WALWORTH",
            "state": "NY",
            "postal_code": "14568",
            "telephone_number": "315-986-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRIERI",
        "first_name": "JOHN",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2014-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "045749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr. John Anthony Guerrieri
• Stephanie Anne Drake, CCC-SLP, L-SLP
• Tina Fountaine, RN
• Gananda Central School District
• Akhtar Ghassemi, R.N.
• Laura Hall, RN
• Kathryn J Hermann, LPN
• Jennifer R Hoffman, LPN
• Melissa Ann Ihrig, M.S. CCC-SLP TSLD
• Emily R Knight

• General Practice Dentistry in Walworth, NY
• Providers in Walworth, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2014; 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.