Active NPI
Selma B Guttin, DDS
- Dentist
- Houston, TX
National Provider Identifier
1992827836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 16907
- Practice address
- 4501 Groveway Dr
Houston, TX 77087-1122 - Phone
- (713) 641-1118
- Fax
- (713) 640-2221
- NPI assigned
- Apr 4, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 16907 | TX | |
| Dentist | 122300000X | 16907 | TX | Primary |
Addresses
Primary practice location
4501 Groveway Dr
Houston, TX 77087-1122
Mailing address
4501 Groveway
Houston, TX 77087
Phone (713) 641-1118
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009788301 | Medicaid | TX | |
| G6001001 | Other | CA | DELTA DENTAL |
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 |
|---|---|---|---|
| 16907 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718582400000",
"number": "1992827836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4501 GROVEWAY",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77087",
"telephone_number": "713-641-1118",
"fax_number": "713-640-2221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4501 GROVEWAY DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770871122",
"telephone_number": "713-641-1118",
"fax_number": "713-640-2221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTTIN",
"first_name": "SELMA",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-04",
"last_updated": "2024-06-17",
"certification_date": "2024-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "16907",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "16907",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009788301",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DELTA DENTAL",
"identifier": "G6001001",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.