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DR. ROCIO D. GUZMAN D.M.D.
NPI 1538486204
Dentist - General Practice in Athens, AL

Active since April 21, 2010PECOS Enrolled
1323 US HIGHWAY 72 E, ATHENS, AL 35611(256) 444-3201 Get Directions Write a Review

NPPES record last updated: August 12, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Rocio D. Guzman D.m.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ROCIO D. GUZMAN D.M.D. (NPI 1538486204) is an individual general practice provider in Athens, Alabama, licensed in Alabama (D-0006566-C) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1538486204
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. ROCIO D. GUZMANCredential: D.M.D.
Location Address1323 US HIGHWAY 72 EAthens, AL 35611-4503
Mailing Address216 Firetown RdSimsbury, CT 06070-1627 · (860) 878-1573
Phone(256) 444-3201
Sole ProprietorNo
Enumeration DateApril 21, 2010
Last NPPES UpdateAugust 12, 2021
NPPES CertifiedAugust 12, 2021
✔ NPI 1538486204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in AL · D-0006566-C✔ Licensed in CA · 47480
Definition
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.
1323 US HIGHWAY 72 E, Athens, AL 35611
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Rocio D. Guzman D.m.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35611 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. COURTNEY RAE RINGROSE DMD
Dentist (General Practice)
1323 US HIGHWAY 72 E
ATHENS, AL 35611
Limestone County (256) 800-2664

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rocio Guzman's NPI number?

The NPI number for Rocio Guzman is 1538486204. It was assigned to this individual provider in the NPPES registry on April 21, 2010.

Where is Rocio Guzman located?

Rocio Guzman practices at 1323 Us Highway 72 E, Athens, AL 35611. The listed phone number is (256) 444-3201.

What is Rocio Guzman's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Rocio Guzman enrolled in Medicare?

Yes. Rocio Guzman is registered in the Medicare PECOS enrollment system.

What insurance does Rocio Guzman accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 5 other insurers list Rocio Guzman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Rocio Guzman was last updated on August 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.