Active NPI
Eric Huang, DDS
- Dentist
- Yorba Linda, CA
National Provider Identifier
1033526561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 63581
- Practice address
- 17451 Bastanchury Rd Ste 104a
Yorba Linda, CA 92886-1872 - Phone
- (714) 524-7663
- NPI assigned
- Jul 16, 2014
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 63581 | CA | Primary |
Addresses
Primary practice location
17451 Bastanchury Rd Ste 104a
Yorba Linda, CA 92886-1872
Mailing address
17451 Bastanchury Rd Ste 104a
Yorba Linda, CA 92886-1872
Phone (714) 524-7663
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 |
|---|---|---|---|
| 63581 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729728000000",
"number": "1033526561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17451 BASTANCHURY RD STE 104A",
"city": "YORBA LINDA",
"state": "CA",
"postal_code": "928861872",
"telephone_number": "714-524-7663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17451 BASTANCHURY RD STE 104A",
"city": "YORBA LINDA",
"state": "CA",
"postal_code": "928861872",
"telephone_number": "714-524-7663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUANG",
"first_name": "ERIC",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-07-16",
"last_updated": "2024-10-24",
"certification_date": "2024-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "63581",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yorba Linda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.