Charles Edward Guevara, BA DDS

Primary specialty

DentistTaxonomy code 122300000X

License

035435 Issued in NY

Practice address

175 Route 59
Ben Gilman Spring Valley Medical & Dental Clinic
Spring Valley, NY 10977-5231

Phone

(845) 426-5800

Fax

(845) 356-4467

NPI assigned

Nov 21, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

State licenses

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1912980244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 STEILEN AVE",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074502800",
            "telephone_number": "201-321-2516",
            "fax_number": "201-670-6371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 ROUTE 59",
            "address_2": "BEN GILMAN SPRING VALLEY MEDICAL & DENTAL CLINIC",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109775231",
            "telephone_number": "845-426-5800",
            "fax_number": "845-356-4467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUEVARA",
        "first_name": "CHARLES",
        "middle_name": "EDWARD",
        "credential": "BA DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-21",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "035435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00826673",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alysa Grubner, MS, CCC/SLP
• Daniella Gruenspecht
• Conor Elizabeth Gruffi, DDS
• Chaim Grunwald, LMHC
• Tamara Grynheim
• Joseph Mayer Gunsberg, BCBA, LBA
• Malka Dvora Gurbunov
• Eliezer Gurkov, PA-C
• Shaina E. Gutman, OTR/L
• Karolyn Stephany Guzman, FNP

• All providers in Spring Valley, NY
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.