Peter M Gutierrez, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN10064 Issued in FL

Practice address

373 Sebastian Blvd
Sebastian, FL 32958-4550

Phone

(772) 589-7409

Fax

(772) 589-0777

NPI assigned

Aug 30, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Peter M. Gutierrez, D.D.S. and Katherine Scures-Gutierrez, D.D.S., P.a

  • Dentist
  • Sebastian, FL
  • NPI 1053617969
  NPD

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982713145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "373 SEBASTIAN BLVD",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329584550",
            "telephone_number": "772-589-7409",
            "fax_number": "772-589-0777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "373 SEBASTIAN BLVD",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329584550",
            "telephone_number": "772-589-7409",
            "fax_number": "772-589-0777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "PETER",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN10064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natasha Greene
• Richard M Greene, PSYD
• Michael Gregory, PHARMD
• Pamelia Ann Guilford, ARNP-C
• Daniel Alejandro Gutierrez, RPAC
• Zoey Gutierrez, DDS, MS
• Brett Haake, D.O.
• Thomas A Haffey, D.O.
• David Jerry Haile, MD
• Sharon P Hall, PT

• General Practice Dentistry in Sebastian, FL
• Providers in Sebastian, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.