Anh Thuc Huynh

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

110496 Issued in CA

Practice address

14621 Van Buren St
Midway City, CA 92655-1066

Phone

(714) 340-8558

NPI assigned

Nov 29, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1701216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1124894324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14621 VAN BUREN ST",
            "city": "MIDWAY CITY",
            "state": "CA",
            "postal_code": "926551066",
            "telephone_number": "714-340-8558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14621 VAN BUREN ST",
            "city": "MIDWAY CITY",
            "state": "CA",
            "postal_code": "926551066",
            "telephone_number": "714-340-8558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUYNH",
        "first_name": "ANH",
        "middle_name": "THUC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-29",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "110496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blanca Patricia Hernandez
• Isabel Guadalupe Hidalgo
• Long Hoang Hoang
• Austin Houn
• Huynh Dental Corporation
• Tan Canh Huynh, D.D.S.
• Amy Judge
• Khoa Dai Le DDS Inc
• Marco Kostandy
• Ivane Le-Nguyen, D.M.D

• General Practice Dentistry in Midway City, CA
• Providers in Midway City, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; 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.