Individual provider Active NPI

Hiu Tung Chan Guzman, DMD

  • General Practice Dentistry
  • Fort Worth, TX
National Provider Identifier
1558288787
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
42461 Issued in TX
Practice address
12753 South Fwy
Fort Worth, TX 76028
Phone
(817) 231-0210
NPI assigned
Jun 30, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 42461 TX Primary

Addresses

Primary practice location

12753 South Fwy
Fort Worth, TX 76028

Mailing address

520 E Vine St Unit 133
Keller, TX 76248-2300
Phone (321) 946-6679

Other names 1

  • Hiu Tung Chan 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

NPI Registry JSON

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

{
    "created_epoch": "1782777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1558288787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 E VINE ST UNIT 133",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762482300",
            "telephone_number": "321-946-6679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12753 SOUTH FWY",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76028",
            "telephone_number": "817-231-0210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN GUZMAN",
        "first_name": "HIU",
        "middle_name": "TUNG",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-30",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "42461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HIU",
            "last_name": "CHAN",
            "middle_name": "TUNG",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; 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.