Active NPI
Jeffrey Guelinas, DDS
- Dentist
- Chiloquin, OR
National Provider Identifier
1902087349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D11418
- Practice address
- 330 S Chiloquin Blvd
Chiloquin, OR 97624-6747 - Phone
- (541) 882-1487
- Fax
- (541) 783-2028
- NPI assigned
- Nov 14, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 7421 | AZ | |
| Dentist | 122300000X | D11418 | OR | Primary |
Addresses
Primary practice location
330 S Chiloquin Blvd
Chiloquin, OR 97624-6747
Mailing address
330 S Chiloquin Blvd
Chiloquin, OR 97624-6747
Phone (541) 882-1487
Other practice location 1
1245 Fulton Ave
Coos Bay, OR 97420-2895
Phone (541) 888-6433
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 |
|---|---|---|---|
| 7421 | AZ | MD | Chiropractor |
| D11418 | OR | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Confederated Tribes of Coos, Lower Umpqua, & Siuslaw Indians | Current | Accepting new patients | |
| Dental One, Inc. | Dentist | Past | Accepting new patients |
| Confederated Tribes of Coos, Lower Umpqua & Siuslaw Indians | Past | Accepting new patients |
Locations
1245 Fulton Ave
Coos Bay, OR 97420
Phone (541) 888-6433
Organizations & group practices 3
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.
-
dba Three Rivers Health Center - Dental
- Dental Clinic/Center
- Coos Bay, OR
- NPI 1326889023
-
dba Three Rivers Health Center - Coos Bay
- Primary Care Clinic/Center
- Coos Bay, OR
- NPI 1780755454
-
dba Dental Group of Ahwatukee
- General Practice Dentistry
- Phoenix, AZ
- NPI 1124105291
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648166400000",
"number": "1902087349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 S CHILOQUIN BLVD",
"city": "CHILOQUIN",
"state": "OR",
"postal_code": "976246747",
"telephone_number": "541-882-1487",
"fax_number": "541-783-2028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 S CHILOQUIN BLVD",
"city": "CHILOQUIN",
"state": "OR",
"postal_code": "976246747",
"telephone_number": "541-882-1487",
"fax_number": "541-783-2028"
}
],
"practiceLocations": [
{
"address_1": "1245 Fulton Ave",
"address_purpose": "LOCATION",
"city": "Coos Bay",
"state": "OR",
"postal_code": "974202895",
"country_code": "US",
"telephone_number": "541-888-6433",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUELINAS",
"first_name": "JEFFREY",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-11-14",
"last_updated": "2022-03-25",
"certification_date": "2022-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AZ",
"license": "7421",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OR",
"license": "D11418",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chiloquin, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.