Jing Guo

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DN1858244 Issued in MA

Practice address

30 Kneeland St FL 3
Boston, MA 02111-1528

Phone

(617) 209-7782

NPI assigned

May 12, 2017

Sex

Female

Sole proprietor

No

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)

Not enrolled

State licenses

Practice roles

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.

• Worcester Hills Dental PC

  • General Practice Dentistry
  • Worcester, MA
  • NPI 1407263908
  NPD (past)
• Worcester Smiles Youth Dentistry, LLC

  • General Practice Dentistry
  • Worcester, MA
  • NPI 1073661385
  NPD (past)

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

{
    "created_epoch": "1494547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694822400000",
    "number": "1992232623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 KNEELAND ST FL 3",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021111528",
            "telephone_number": "617-209-7782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 KNEELAND ST FL 3",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021111528",
            "telephone_number": "617-209-7782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUO",
        "first_name": "JING",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-12",
        "last_updated": "2023-09-16",
        "certification_date": "2023-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MA",
            "license": "DN1858244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maya Rose Gunther, MD
• Anasuya Gunturi, M.D., PH.D.
• Andy Chang Guo, MD
• George Guo
• James W. Guo, MD
• Lan Qian Guo, MD
• Michelle Guo, MD
• Ruby Guo, MD
• Wilson Guo, MD
• Winston Guo

• Orthodontics and Dentofacial Orthopedics Dentistry in Boston, MA
• Providers in Boston, MA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2023; 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.