David Ryan McGuire, DMD
Individual provider Active NPI Dentist · Tohatchi, NM
NPI 1962742809 · NPPES record last updated Oct 10, 2017
Key facts
- NPI
- 1962742809
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 30-023608 (OH)
- Practice address
- 007 Choosgai Drive
Tohatchi, NM 87325 - Phone
- (505) 733-8400
- NPI assigned
- Feb 28, 2013
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30-023608 | OH | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 30-023608 | OH | Yes |
Addresses
Primary practice location
007 Choosgai Drive
Tohatchi, NM 87325
Mailing address
6937 Charlesgate Rd
Huber Heights, OH 45424-7085
Phone (937) 506-8936
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0089119 | Medicaid | OH |
Other providers in Tohatchi, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 10, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.