Individual provider Active NPI

Angelyn Adorable De Guzman, DDS

  • Dentist
  • Kaneohe, HI
National Provider Identifier
1215539044
Registry record updated Dec 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2884 Issued in HI
Practice address
45-950 Kamehameha Hwy
Kaneohe, HI 96744-3260
Phone
(808) 247-4291
NPI assigned
Nov 16, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2884 HI Primary

Addresses

Primary practice location

45-950 Kamehameha Hwy
Kaneohe, HI 96744-3260

Mailing address

45-950 Kamehameha Hwy
Kaneohe, HI 96744-3260

Other practice location 1

3270 Waialae Ave
Honolulu, HI 96816-5836
Phone (808) 732-4377

Other names 1

  • Maria Angelyn Karla Adorable De Guzman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2884HIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kaneohe Dental Care, LLC CurrentSince Dec 13, 2022 Accepting new patients
Kaneohe Family Dental Care, Inc. PastSince Dec 13, 2022 Accepting new patients

Locations

45-950 Kamehameha Hwy
Kaneohe, HI 96744
Phone (808) 247-4291

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1605484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670198400000",
    "number": "1215539044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45-950 KAMEHAMEHA HWY",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967443260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45-950 KAMEHAMEHA HWY",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967443260",
            "telephone_number": "808-247-4291"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3270 Waialae Ave",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968165836",
            "country_code": "US",
            "telephone_number": "808-732-4377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE GUZMAN",
        "first_name": "ANGELYN",
        "middle_name": "ADORABLE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-16",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "HI",
            "license": "2884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA ANGELYN KARLA",
            "last_name": "DE GUZMAN",
            "middle_name": "ADORABLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kaneohe, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; 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.