Individual provider Active NPI

Peter Wenyen Huang, DDS

  • Dentist
  • Ontario, CA
National Provider Identifier
1104137314
Registry record updated Feb 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
61469 Issued in CA
Practice address
1791 E Holt Blvd Unit 102
Ontario, CA 91761-2118
Phone
(909) 391-8990
NPI assigned
Jun 23, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 61469 CA Primary

Addresses

Primary practice location

1791 E Holt Blvd Unit 102
Ontario, CA 91761-2118

Mailing address

12967 Luna St
Eastvale, CA 92880-3216
Phone (949) 202-9669

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
61469CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Huang and Chen Dental Corporation Current Accepting new patients
Chen & Huang Dental Corporation CurrentSince May 11, 2025 Accepting new patients
Peter Wy Huang Dental Corporation CurrentSince Feb 7, 2021 Accepting new patients

Locations

1791 E Holt Blvd
Unit 102
Ontario, CA 91761
Phone (909) 391-8990

Interoperability endpoints

  • Direct secure messaging: pwhuang@direct.westerndental.com

Organizations & group practices 3

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": "1277251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612224000000",
    "number": "1104137314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12967 LUNA ST",
            "city": "EASTVALE",
            "state": "CA",
            "postal_code": "928803216",
            "telephone_number": "949-202-9669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1791 E HOLT BLVD UNIT 102",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917612118",
            "telephone_number": "909-391-8990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUANG",
        "first_name": "PETER WENYEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-23",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "61469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ontario, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; 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.