DR. BRIAN GEORGE MCGUIRE DMD, NPI 1689165425 — BRIGHTON (MA)

NPI 1689165425

1+ Years Experience Individual

DR. BRIAN GEORGE MCGUIRE DMD

05/29/2018
PROVIDER ENUMERATION DATE
07.12.2018
LAST UPDATE DATE
1689165425
NPI NUMBER

About DR. BRIAN GEORGE MCGUIRE

Sole proprietor? No, Entity Type 1 Provider (Individual) is not a Sole Proprietor.

DR. BRIAN GEORGE MCGUIRE is a provider established in BRIGHTON, MA. The NPI number of DR. BRIAN GEORGE MCGUIRE is 1689165425 and was assigned on 05/29/2018. The practitioners primary taxonomy code is: 390200000X .

Mailing address

  • City: BRIGHTON
  • State: MA
  • Postal code: 21355427
  • Phone: 3092357257
  • Address: 24 SIDLAW RD

Primary Practice Address

  • Region : BRIGHTON, MA
  • NPI : 1689165425
  • Phone : 3092357257
  • Postalcode : 2135
  • Address : 24 SIDLAW RD

Provider taxonomy - Student in an Organized Health Care Education/Training Program

  • Taxonomy code: 390200000X

The taxonomy is not the primary taxonomy.

Taxonomy description: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Healthcare provider taxonomy #2 - Dentist

  • Taxonomy code: 1223G0001X
  • License number: DN1857992
  • License state: MA

The taxonomy is the primary taxonomy (there can be only one per NPI record).

Taxonomy description: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients" oral health needs.

Contacts:

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  • DR. BRIAN GEORGE MCGUIRE DMD
  • Address : 24 SIDLAW RD
  • Region : BRIGHTON, MA
  • NPI : 1689165425
  • Phone : 3092357257
  • Postalcode : 2135

Reference NPI Information. Full replica of the CMS (NPPES) NPI record

Field Name Value
Provider First Line Business Practice Location Address24 SIDLAW RD
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City NameBRIGHTON
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State NameMA
The State or Province name in the location address of the provider being identified.
Provider Business Practice Location Address Postal Code2135
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Telephone Number3092357257
The telephone number associated with the location address of the provider being identified.
NPI1689165425
10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Healthcare Provider Taxonomy 1390200000X
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Provider Enumeration Date05/29/2018
The date the provider was assigned a unique identifier (assigned an NPI).
Last Updated07.12.2018
The date that a record was last updated or changed.
Entity TypeIndividual
Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Organization Name (Legal Business Name)DR. BRIAN GEORGE MCGUIRE
Provide organization name (legal business name used to file tax returns with the IRS). The Organization Name field allows the following special characters: ampersand, apostrophe, "at" sign, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters.
Provider First Line Business Mailing Address24 SIDLAW RD
The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
Provider Business Mailing Address City NameBRIGHTON
The City name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address City name".
Provider Business Mailing Address State NameMA
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
Provider Business Mailing Address Postal Code21355427
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
Provider Business Mailing Address Telephone Number3092357257
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Healthcare Provider Taxonomy Code #1390200000X
The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy 1Student in an Organized Health Care Education/Training Program
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Healthcare Provider Primary Taxonomy Switch 1N
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
Healthcare Provider Taxonomy Code 21223G0001X
Healthcare Provider Taxonomy 2Dentist
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients" oral health needs.
Provider License Number 2DN1857992
Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code 2MA
Healthcare Provider Primary Taxonomy Switch 2Y
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
Provider Gender CodeM
  • M - male
  • F - female
Is sole proprietorN
  • X - Not Answered
  • Y - Yes, Entity Type 1 Provider (Individual) is a Sole Proprietor
  • N - No, Entity Type 1 Provider (Individual) is not a Sole Proprietor
X

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