Active NPI
Viridiana Gutierrez
- Dental Assistant
- Ft. Bliss, TX
National Provider Identifier
1881140416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Assistant
- License
- 42428
- Practice address
- 11334 SSG Sims Rd
Ft. Bliss, TX 79908 - Phone
- (915) 742-6083
- NPI assigned
- Sep 1, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dental Assistant | 126800000X | 42428 | TX | Primary |
Addresses
Primary practice location
11334 SSG Sims Rd
Ft. Bliss, TX 79908
Mailing address
11791 Flor del Rio
El Paso, TX 79927
Phone (915) 276-2030
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42428 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472688000000",
"number": "1881140416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11791 FLOR DEL RIO",
"city": "EL PASO",
"state": "TX",
"postal_code": "79927",
"telephone_number": "915-276-2030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11334 SSG SIMS RD",
"city": "FT. BLISS",
"state": "TX",
"postal_code": "79908",
"telephone_number": "915-742-6083"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTIERREZ",
"first_name": "VIRIDIANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-01",
"last_updated": "2016-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "126800000X",
"taxonomy_group": "",
"desc": "Dental Assistant",
"state": "TX",
"license": "42428",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ft. Bliss, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.