Active NPI
Michaella Hwang, DDS
- General Practice Dentistry
- Livermore, CA
National Provider Identifier
1164652145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 48121
- Practice address
- 4423 First St
Livermore, CA 94551-4915 - Phone
- (925) 449-1768
- Fax
- (925) 449-2065
- NPI assigned
- Jul 23, 2009
- Sex
- Female
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 48121 | CA | Primary |
Addresses
Primary practice location
4423 First St
Livermore, CA 94551-4915
Mailing address
4423 First St
Livermore, CA 94551-4915
Phone (925) 449-1768
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 |
|---|---|---|---|
| 48121 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248307200000",
"number": "1164652145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4423 FIRST ST",
"city": "LIVERMORE",
"state": "CA",
"postal_code": "945514915",
"telephone_number": "925-449-1768",
"fax_number": "925-449-2065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4423 FIRST ST",
"city": "LIVERMORE",
"state": "CA",
"postal_code": "945514915",
"telephone_number": "925-449-1768",
"fax_number": "925-449-2065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HWANG",
"first_name": "MICHAELLA",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-23",
"last_updated": "2009-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "48121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Livermore, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.