Active NPI
Amanda Jie Huang, D.M.D.
- Oral and Maxillofacial Surgery (Dentist)
- Federal Way, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- DE60262499
- Practice address
- 1706 S 320TH St Ste E
Federal Way, WA 98003-5424 - Phone
- (253) 839-4048
- Fax
- (253) 839-4046
- NPI assigned
- Jun 29, 2006
- Last updated
- Apr 14, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DE-60262499 | WA | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | DE60262499 | WA | Primary |
Addresses
Primary practice location
1706 S 320TH St Ste E
Federal Way, WA 98003-5424
Mailing address
3002 Shorewood Dr
Mercer Island, WA 98040-3183
Phone (206) 552-1952
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Oral Surgery
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1706 S 320TH St
Suite E
Federal Way, WA 98003-5424
Phone (253) 839-4048
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE-60262499 | WA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Huang and Zhou, PLLC | Dentist | Current | Accepting new patients |
| Amanda Huang DMD LLC | Current | Accepting new patients |
Locations
1811 156th Ave NE
Ste 3
Bellevue, WA 98007
Phone (425) 614-1098
1706 S 320th St
Ste E
Federal Way, WA 98003
Phone (253) 839-4048
Organizations & group practices 2
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": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681430400000",
"number": "1174551972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3002 SHOREWOOD DR",
"city": "MERCER ISLAND",
"state": "WA",
"postal_code": "980403183",
"telephone_number": "206-552-1952",
"fax_number": "253-839-4046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1706 S 320TH ST STE E",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980035424",
"telephone_number": "253-839-4048",
"fax_number": "253-839-4046"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUANG",
"first_name": "AMANDA",
"middle_name": "JIE",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-29",
"last_updated": "2023-04-14",
"certification_date": "2023-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "DE-60262499",
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "WA",
"license": "DE60262499",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Federal Way, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.