Individual provider Active NPI

Jean Laurice Guevarra You, DDS

  • Pediatric Dentistry
  • Apex, NC
National Provider Identifier
1902298037
Registry record updated Jan 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
11304 Issued in NC
Practice address
504 W Williams St
Apex, NC 27502
Phone
(191) 303-2873
NPI assigned
Feb 26, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 11304 NC Primary

Addresses

Primary practice location

504 W Williams St
Apex, NC 27502

Mailing address

504 W Williams St
Apex, NC 27502-1846
Phone (919) 303-2873

Other practice location 1

1 Squire Hall
Buffalo, NY 14214
Phone (551) 580-1522

Other practice location 2

504 W Williams St
Apex, NC 27502
Phone (191) 303-2873

Other names 1

  • Dr. Jean Laurice Guevarra Former name

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

LicenseStateTypeSpecialty
11304NCMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Jean G. You, DDS, PLLC Pediatric Dentistry Current Accepting new patients
Jean G. You, DDS PLLC Current Accepting new patients

Locations

504 W Williams St
Apex, NC 27502
Phone (551) 580-1522

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1424908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579478400000",
    "number": "1902298037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 W WILLIAMS ST",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275021846",
            "telephone_number": "919-303-2873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 W WILLIAMS ST",
            "city": "APEX",
            "state": "NC",
            "postal_code": "27502",
            "telephone_number": "191-303-2873"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Squire Hall",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "14214",
            "country_code": "US",
            "telephone_number": "551-580-1522",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "504 W Williams St",
            "address_purpose": "LOCATION",
            "city": "Apex",
            "state": "NC",
            "postal_code": "27502",
            "country_code": "US",
            "telephone_number": "191-303-2873",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUEVARRA YOU",
        "first_name": "JEAN LAURICE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-26",
        "last_updated": "2020-01-20",
        "certification_date": "2020-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NC",
            "license": "11304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEAN LAURICE",
            "last_name": "GUEVARRA",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Apex, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2020; 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.