Active NPI
Tony S Hwang, DDS
- Pediatric Dentistry
- South Pasadena, CA
National Provider Identifier
1124153671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 45577
- Practice address
- 1941 Huntington Dr
Suite #a
South Pasadena, CA 91030-4967 - Phone
- (626) 308-1807
- NPI assigned
- Feb 23, 2007
- 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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 45577 | CA | Primary |
Addresses
Primary practice location
1941 Huntington Dr
Suite #a
South Pasadena, CA 91030-4967
Mailing address
1941 Huntington Dr
Suite #a
South Pasadena, CA 91030-4967
Phone (626) 308-1807
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 |
|---|---|---|---|
| 45577 | CA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tony S. Hwang DDS, Inc | Pediatric Dentistry | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatric Dentistry
- South Pasadena, CA
- NPI 1568696920
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242000000000",
"number": "1124153671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1941 HUNTINGTON DR",
"address_2": "SUITE #A",
"city": "SOUTH PASADENA",
"state": "CA",
"postal_code": "910304967",
"telephone_number": "626-308-1807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1941 HUNTINGTON DR",
"address_2": "SUITE #A",
"city": "SOUTH PASADENA",
"state": "CA",
"postal_code": "910304967",
"telephone_number": "626-308-1807"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HWANG",
"first_name": "TONY",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-23",
"last_updated": "2009-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "CA",
"license": "45577",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.