Active NPI
Dahlia E Guzman, DDS
- General Practice Dentistry
- Katy, TX
National Provider Identifier
1346343902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 12012
- Practice address
- 21318 Provincial Blvd
Ste 102
Katy, TX 77450-7580 - Phone
- (281) 398-0337
- Fax
- (281) 398-9825
- NPI assigned
- Sep 7, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 12012 | TX | Primary |
Addresses
Primary practice location
21318 Provincial Blvd
Ste 102
Katy, TX 77450-7580
Mailing address
21318 Provincial Blvd
Ste 102
Katy, TX 77450-7580
Phone (281) 398-0337
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 44832 | Other | TX | DENT |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 12012 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250726400000",
"number": "1346343902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21318 PROVINCIAL BLVD",
"address_2": "STE 102",
"city": "KATY",
"state": "TX",
"postal_code": "774507580",
"telephone_number": "281-398-0337",
"fax_number": "281-398-9825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21318 PROVINCIAL BLVD",
"address_2": "STE 102",
"city": "KATY",
"state": "TX",
"postal_code": "774507580",
"telephone_number": "281-398-0337",
"fax_number": "281-398-9825"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUZMAN",
"first_name": "DAHLIA",
"middle_name": "E",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-07",
"last_updated": "2009-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "12012",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENT",
"identifier": "44832",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Katy, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.