Organization Active NPI

Ulises a Guzman DDS PA

Doing business as Guzman Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Tampa, FL
National Provider Identifier
1982070215
Registry record updated Aug 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DN13659 Issued in FL
Legal business name
ULISES A GUZMAN DDS PA
Doing business as
Guzman Orthodontics
Practice address
6907 W Waters Ave
Tampa, FL 33634-2213
Phone
(813) 887-5555
Fax
(813) 887-5556
NPI assigned
Aug 21, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2015

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

Authorized official

Name
Dr. Ulises Antonio Guzman, DDS
Title
President
Phone
(813) 887-5555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X DN13659 FL Primary

Addresses

Primary practice location

6907 W Waters Ave
Tampa, FL 33634-2213

Mailing address

6907 W Waters Ave
Tampa, FL 33634-2213
Phone (813) 887-5555

Other identifiers 1

IdentifierTypeStateIssuer
0045499000MedicaidFL

Other names 1

  • Guzman Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

6907 W Waters Ave
Tampa, FL 33634
Phone (813) 887-5555

NPI Registry JSON

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

{
    "created_epoch": "1440115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440115200000",
    "number": "1982070215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6907 W WATERS AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336342213",
            "telephone_number": "813-887-5555",
            "fax_number": "813-887-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6907 W WATERS AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336342213",
            "telephone_number": "813-887-5555",
            "fax_number": "813-887-5556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULISES A GUZMAN DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-21",
        "last_updated": "2015-08-21",
        "status": "A",
        "authorized_official_last_name": "GUZMAN",
        "authorized_official_first_name": "ULISES",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-887-5555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "FL",
            "license": "DN13659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0045499000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Guzman Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2015; 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.