Active NPI
Huynh Dental Corporation
- General Practice Dentistry
- Midway City, CA
National Provider Identifier
1164612792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D46609
- Legal business name
- HUYNH DENTAL CORPORATION
- Practice address
- 8227 Bolsa Ave
Midway City, CA 92655-1233 - Phone
- (714) 895-5568
- Fax
- (714) 895-5578
- NPI assigned
- Jul 30, 2007
- Organization subpart
- Yes
- Parent organization
- HUYNH DENTAL CORPORATION
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Tan Canh Huynh, DDS
- Title
- Ceo
- Phone
- (714) 895-5568
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D46609 | CA | Primary |
Addresses
Primary practice location
8227 Bolsa Ave
Midway City, CA 92655-1233
Mailing address
8227 Bolsa Ave
Midway City, CA 92655-1233
Phone (714) 895-5568
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G-92320-01 | Other | CA | MEDICAL PROVIDER NUMBER |
| D46609 | Other | CA | CALIFORNIA LICENSE NUMBER |
Other names 1
- TCH Dentalcare
National Provider Directory
National Provider Directory- Part of
- Huynh Dental Corporation
Locations
8227 Bolsa Ave
Midway City, CA 92655
Phone (714) 895-5568
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Midway City, CA
- NPI 1679630545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185753600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1185753600000",
"number": "1164612792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8227 BOLSA AVE",
"city": "MIDWAY CITY",
"state": "CA",
"postal_code": "926551233",
"telephone_number": "714-895-5568",
"fax_number": "714-895-5578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8227 BOLSA AVE",
"city": "MIDWAY CITY",
"state": "CA",
"postal_code": "926551233",
"telephone_number": "714-895-5568",
"fax_number": "714-895-5578"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HUYNH DENTAL CORPORATION",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "HUYNH DENTAL CORPORATION",
"enumeration_date": "2007-07-30",
"last_updated": "2007-07-30",
"status": "A",
"authorized_official_last_name": "HUYNH",
"authorized_official_first_name": "TAN",
"authorized_official_middle_name": "CANH",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "714-895-5568",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "D46609",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL PROVIDER NUMBER",
"identifier": "G-92320-01",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA LICENSE NUMBER",
"identifier": "D46609",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "TCH Dentalcare",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Midway City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.