Individual provider Active NPI

Myat Htut, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Walnut, CA
National Provider Identifier
1073949541
Registry record updated May 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DDS100235 Issued in CA
Practice address
20709 Golden Springs Dr Ste 202
Walnut, CA 91789-3847
Phone
(909) 594-0518
NPI assigned
Sep 17, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X LL-346-13 NV
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DDS100235 CA Primary

Addresses

Primary practice location

20709 Golden Springs Dr Ste 202
Walnut, CA 91789-3847

Mailing address

20709 Golden Springs Dr Ste 202
Walnut, CA 91789-3847

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
LL-346-13NVMDDentist
DDS100235CAMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Htut Dental Corp Orthodontics and Dentofacial Orthopedics Current Accepting new patients
Myat Min Htut, DDS, Inc Orthodontics and Dentofacial Orthopedics CurrentSince Jan 19, 2020 Accepting new patients

Locations

20709 Golden Springs Dr
Ste 202
Walnut, CA 91789
Phone (909) 594-0518

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1379376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589068800000",
    "number": "1073949541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20709 GOLDEN SPRINGS DR STE 202",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917893847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20709 GOLDEN SPRINGS DR STE 202",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917893847",
            "telephone_number": "909-594-0518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HTUT",
        "first_name": "MYAT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-17",
        "last_updated": "2020-05-10",
        "certification_date": "2020-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NV",
            "license": "LL-346-13",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "DDS100235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2020; 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.