Individual provider Active NPI

Mayra Yoselin Guzman Hernandez

  • Dental Hygienist
  • Katy, TX
National Provider Identifier
1346930377
Registry record updated May 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
24777 Issued in TX
Practice address
94 W Grand Pkwy S Ste 240
Katy, TX 77494-7049
Phone
(832) 990-7757
NPI assigned
May 12, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 24777 TX Primary

Addresses

Primary practice location

94 W Grand Pkwy S Ste 240
Katy, TX 77494-7049

Mailing address

94 W Grand Pkwy S Ste 240
Katy, TX 77494-7049

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
24777TXMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1683849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683849600000",
    "number": "1346930377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 W GRAND PKWY S STE 240",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774947049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 W GRAND PKWY S STE 240",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774947049",
            "telephone_number": "832-990-7757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUZMAN HERNANDEZ",
        "first_name": "MAYRA",
        "middle_name": "YOSELIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-12",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "TX",
            "license": "24777",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 12, 2023; 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.