Individual provider Active NPI

Xiao-Li Shelly Huang, DDS

  • Dentist
  • Honolulu, HI
National Provider Identifier
1003918863
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DT2118 Issued in HI
Practice address
1136 Union Mall
Suite 502
Honolulu, HI 96813-2719
Phone
(808) 947-2929
NPI assigned
Sep 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 9074963 UT
Dentist 122300000X DT2118 HI Primary
Dentist 122300000X 2901019104 MI

Addresses

Primary practice location

1136 Union Mall
Suite 502
Honolulu, HI 96813-2719

Mailing address

1136 Union Mall Ste 502
Honolulu, HI 96813-2711
Phone (808) 222-5390

Other practice location 1

PO Box 150162
Ogden, UT 84415-0162
Phone (801) 876-0246

Other identifiers 3

IdentifierTypeStateIssuer
211803OtherHIHDS
00D0Z55176OtherHIHMSA
575334MedicaidHI

Other names 1

  • Shelli Huang Other 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
DT2118HIMDDentist
2901019104MIMDDentist
9074963UTMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1003918863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1136 UNION MALL STE 502",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132711",
            "telephone_number": "808-222-5390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1136 UNION MALL",
            "address_2": "SUITE 502",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132719",
            "telephone_number": "808-947-2929"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "PO Box 150162",
            "address_purpose": "LOCATION",
            "city": "Ogden",
            "state": "UT",
            "postal_code": "844150162",
            "country_code": "US",
            "telephone_number": "801-876-0246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUANG",
        "first_name": "XIAO-LI",
        "middle_name": "SHELLY",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-02",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "UT",
            "license": "9074963",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "HI",
            "license": "DT2118",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901019104",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HDS",
            "identifier": "211803",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "00D0Z55176",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "575334",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELLI",
            "last_name": "HUANG",
            "credential": "DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.