Individual provider Active NPI

Chuanbing Huo, SLP

  • Speech-Language Pathologist
  • Bangor, ME
National Provider Identifier
1124785746
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP4382 Issued in ME
Practice address
6 Telcom Dr
Bangor, ME 04401-3072
Phone
(207) 941-2850
NPI assigned
Nov 18, 2021
Last updated
Aug 6, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 11617 IA
Speech-Language Pathologist 235Z00000X 10588 MN
Speech-Language Pathologist 235Z00000X SP4382 ME Primary

Addresses

Primary practice location

6 Telcom Dr
Bangor, ME 04401-3072

Mailing address

PO Box 1599
Bangor, ME 04402-1599

Other practice location 1

104 Buncombe Dr
Rock Rapids, IA 51246-1003
Phone (712) 472-3333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250630003578 ME Practitioner - Qualified Speech Language Pathologist 7113313099 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
84.78 of 100Reported as group
Quality
78.77
Promoting interoperability
100
Improvement activities
40
Cost
70.49

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11617IAMDSpeech-Language Pathologist
10588MNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Penobscot Community Health Center CurrentSince Jul 25, 2025 Accepting new patients
Sanford Clinic Current Accepting new patients
Sanford Clinic CurrentSince Dec 29, 2021 Accepting new patients
Sanford Clinic CurrentSince Dec 29, 2021 Accepting new patients
Penobscot Community Health Center CurrentSince Jul 25, 2025 Accepting new patients
Penobscot Community Health Center Past Accepting new patients

Locations

303 E Jefferson St
Inwood, IA 51240
Phone (712) 753-4401

104 Buncombe Dr
Rock Rapids, IA 51246
Phone (712) 472-3333

118 N 7th Ave
Sheldon, IA 51201
Phone (712) 324-5041

1012 Union St
Ste 1
Bangor, ME 04401
Phone 2079455247407

6 Telcom Dr
Bangor, ME 04401
Phone (207) 941-2850

6 Telcom Dr
Fl 1
Bangor, ME 04401
Phone (207) 941-2850

1600 N Kniss Ave
Luverne, MN 56156
Phone (507) 283-2321

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1637193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1124785746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1599",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044021599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 TELCOM DR",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013072",
            "telephone_number": "207-941-2850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "104 Buncombe Dr",
            "address_purpose": "LOCATION",
            "city": "Rock Rapids",
            "state": "IA",
            "postal_code": "512461003",
            "country_code": "US",
            "telephone_number": "712-472-3333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUO",
        "first_name": "CHUANBING",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-18",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IA",
            "license": "11617",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "10588",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ME",
            "license": "SP4382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bangor, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.