Active NPI
Daniel Dat Huynh, DDS
- Dentist
- Alhambra, CA
National Provider Identifier
1164070215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DDS104318
- Practice address
- 100 E Huntington Dr Ste 206
Alhambra, CA 91801-1022 - Phone
- (626) 308-7881
- NPI assigned
- Sep 2, 2019
- Last updated
- Nov 29, 2020
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | DDS104318 | CA | Primary |
Addresses
Primary practice location
100 E Huntington Dr Ste 206
Alhambra, CA 91801-1022
Mailing address
2661 Lexington Ave
El Monte, CA 91733-2309
Phone (626) 213-7420
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 |
|---|---|---|---|
| DDS104318 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael Su Dental Corp | 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, 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": "1567382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606608000000",
"number": "1164070215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2661 LEXINGTON AVE",
"city": "EL MONTE",
"state": "CA",
"postal_code": "917332309",
"telephone_number": "626-213-7420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E HUNTINGTON DR STE 206",
"city": "ALHAMBRA",
"state": "CA",
"postal_code": "918011022",
"telephone_number": "626-308-7881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUYNH",
"first_name": "DANIEL",
"middle_name": "DAT",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-09-02",
"last_updated": "2020-11-29",
"certification_date": "2020-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "DDS104318",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alhambra, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.