DR. GUADALUPE GUTIERREZ II DMD
NPI 1730556515
Dentist in Coeur D Alene, ID

Q: What is Guadalupe Gutierrez's NPI number?

The NPI number for Guadalupe Gutierrez is 1730556515. It was assigned to this individual provider in the NPPES registry on August 27, 2015.

Q: What is Guadalupe Gutierrez's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: Is Guadalupe Gutierrez enrolled in Medicare?

No. Guadalupe Gutierrez has opted out of Medicare through May 17, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Active since August 27, 2015Opted out of Medicare · through May 17, 2028

2615 N FRUITLAND LN, COEUR D ALENE, ID 83815(208) 765-3301 Get Directions Write a Review

NPPES record last updated: August 21, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Guadalupe Gutierrez Ii Dmd NPPES

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

DR. GUADALUPE GUTIERREZ II DMD (NPI 1730556515) is an individual dentist in Coeur D Alene, Idaho, licensed in Idaho (D4664) and active in the NPI registry since August 2015. He has opted out of Medicare through May 17, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1730556515

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. GUADALUPE GUTIERREZ IICredential: DMD

Location Address2615 N FRUITLAND LNCoeur D Alene, ID 83815-7914

Mailing Address9530 S Eastern Ave Ste 160Las Vegas, NV 89123-8036 · (725) 331-3291

Phone(208) 765-3301

Sole ProprietorNo

Enumeration DateAugust 27, 2015

Last NPPES UpdateAugust 21, 2024

NPPES CertifiedAugust 21, 2024

✔ NPI 1730556515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in ID · D4664

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 7888 (NV)

2615 N FRUITLAND LN, Coeur D Alene, ID 83815

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, BEST Life and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Dr. Guadalupe Gutierrez Ii Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 17, 2022 through May 17, 2028.

Opt-Out Effective DateMay 17, 2022

Opt-Out In Effect ThroughMay 17, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83815 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

$81.13 typical visit price

range $52.44 – $160.17

Typical copayment $20.28 (range $13.11 – $40.04)

Most-billed visit code 99203

Established Patient

$65.77 typical visit price

range $16.68 – $130.93

Typical copayment $16.44 (range $4.17 – $32.73)

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 6

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

JEFFREY PATTEN DDS

Dentist (General Practice)