Dennis Wright Guard, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4028 Issued in MD

Practice address

101 Ridgely Ave
Suite 22a
Annapolis, MD 21401-1409

Phone

(410) 268-5751

Fax

(410) 267-7044

NPI assigned

Nov 5, 2007

Last updated

Nov 5, 2007By 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 MD

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

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

{
    "created_epoch": "1194220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194220800000",
    "number": "1912187295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 RIDGELY AVE",
            "address_2": "SUITE 22A",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214011409",
            "telephone_number": "410-268-5751",
            "fax_number": "410-267-7044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 RIDGELY AVE",
            "address_2": "SUITE 22A",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214011409",
            "telephone_number": "410-268-5751",
            "fax_number": "410-267-7044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUARD",
        "first_name": "DENNIS",
        "middle_name": "WRIGHT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-05",
        "last_updated": "2007-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "4028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Annapolis, MD
• Providers in Annapolis, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2007; 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.