Individual provider Active NPI

Anqi Hu, DDS

  • General Practice Dentistry
  • Pittsfield, MA
National Provider Identifier
1215462254
Registry record updated Jun 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN1858177 Issued in MA
Practice address
788 South Street
Pittsfield, Ma 01201
Pittsfield, MA 01201
Phone
(413) 445-6680
NPI assigned
Apr 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN1858177 MA Primary
Dentist 122300000X DN1858177 MA

Addresses

Primary practice location

788 South Street
Pittsfield, Ma 01201
Pittsfield, MA 01201

Mailing address

175 Union St
Lynn, MA 01901-1310
Phone (781) 592-9200

Other practice location 1

11100 Euclid Ave
Cleveland, OH 44106-1716
Phone (404) 862-1452

Other identifiers 1

IdentifierTypeStateIssuer
1215462254MedicaidMA

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Lynn Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180130003163 OH Order and Referring Only - DentistPractitioner - Dentist 2466712005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN1858177MAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Brookline Dental Wellness PLLC Dentist Current Accepting new patients
Medford Dental Wellness Center, PC Dentist Current Accepting new patients
Ascend Dental Studio PLLC Dentist PastSince Jan 1, 2024 Accepting new patients
Union St Family Dental PC Dentist PastSince Jun 28, 2020 Accepting new patients
Globus Dental Care Center at Lynn Dentist PastSince Jun 28, 2020 Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1493251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592956800000",
    "number": "1215462254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 UNION ST",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019011310",
            "telephone_number": "781-592-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "788 SOUTH STREET",
            "address_2": "PITTSFIELD, MA 01201",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "01201",
            "telephone_number": "413-445-6680"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11100 Euclid Ave",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441061716",
            "country_code": "US",
            "telephone_number": "404-862-1452",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HU",
        "first_name": "ANQI",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-27",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1858177",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1858177",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1215462254",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Lynn",
            "affiliation": "N",
            "endpointDescription": "175 Union Street",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "175 Union St",
            "city": "Lynn",
            "state": "MA",
            "country_code": "US",
            "postal_code": "019011310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pittsfield, MA

Sources for this page

Verify at the official NPI Registry.