Individual provider Active NPI

Mary Chen-Huang, DDS

  • General Practice Dentistry
  • York, PA
National Provider Identifier
1063966588
Registry record updated Aug 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS041002 Issued in PA
Practice address
3013 E Market St # a-100
York, PA 17402-2513
Phone
(717) 430-4360
NPI assigned
Aug 12, 2016
Last updated
Aug 12, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2016

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 DS041002 PA Primary

Addresses

Primary practice location

3013 E Market St # a-100
York, PA 17402-2513

Mailing address

3013 E Market St # a-100
York, PA 17402-2513
Phone (717) 430-4360

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161130000403 PA Order and Referring Only - DentistPractitioner - Dentist 9537449004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS041002PAMDGeneral Practice Dentistry

Interoperability endpoints

  • Direct secure messaging: mary.chen-huang.1@14261.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1470960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470960000000",
    "number": "1063966588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3013 E MARKET ST # A-100",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174022513",
            "telephone_number": "717-430-4360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3013 E MARKET ST # A-100",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174022513",
            "telephone_number": "717-430-4360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN-HUANG",
        "first_name": "MARY",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-12",
        "last_updated": "2016-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS041002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

Verify at the official NPI Registry.