Active NPI
Susan Huang Keefe
- Dentist
- Chapel Hill, NC
National Provider Identifier
1053056325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 12853
- Practice address
- 120 Dental Cir
Chapel Hill, NC 27599-5021 - Phone
- (919) 537-3944
- NPI assigned
- May 2, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 12853 | NC | Primary |
Addresses
Primary practice location
120 Dental Cir
Chapel Hill, NC 27599-5021
Mailing address
8010 Sundance Cir
Durham, NC 27713-5919
Phone (718) 839-3909
Other names 1
- Pengqian Huang
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220708001417 | NC | Order and Referring Only - Dentist | 1557741576 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12853 | NC | MD | Dentist |
Interoperability endpoints
- skeefe576825@directhisp.wakemed.org
- skeefe873731@direct.unc.nchie.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656028800000",
"number": "1053056325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8010 SUNDANCE CIR",
"city": "DURHAM",
"state": "NC",
"postal_code": "277135919",
"telephone_number": "718-839-3909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 DENTAL CIR",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275995021",
"telephone_number": "919-537-3944"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEEFE",
"first_name": "SUSAN",
"middle_name": "HUANG",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-02",
"last_updated": "2022-06-24",
"certification_date": "2022-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "12853",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PENGQIAN",
"last_name": "HUANG",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Chapel Hill, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.