Active NPI
Gwen Huynh, DMD
- General Practice Dentistry
- Avondale, AZ
National Provider Identifier
1255410775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D6861
- Practice address
- 1473 N Dysart Rd
Suite 105
Avondale, AZ 85323-1548 - Phone
- (623) 925-1331
- Fax
- (623) 925-2466
- NPI assigned
- Nov 3, 2006
- 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 | D6861 | AZ | Primary |
Addresses
Primary practice location
1473 N Dysart Rd
Suite 105
Avondale, AZ 85323-1548
Mailing address
1950 S Country Club Dr
Mesa, AZ 85210-6008
Phone (480) 644-9399
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 |
|---|---|---|---|
| D6861 | AZ | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oasis Dentistry PLLC | Current | Accepting new patients | |
| Modern Dental Professionals Az, PC | General Practice | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Dental Clinic/Center
- Peoria, AZ
- NPI 1497587232
-
- General Practice Dentistry
- Chandler, AZ
- NPI 1376814012
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1255410775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1950 S COUNTRY CLUB DR",
"city": "MESA",
"state": "AZ",
"postal_code": "852106008",
"telephone_number": "480-644-9399",
"fax_number": "480-668-7790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1473 N DYSART RD",
"address_2": "SUITE 105",
"city": "AVONDALE",
"state": "AZ",
"postal_code": "853231548",
"telephone_number": "623-925-1331",
"fax_number": "623-925-2466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUYNH",
"first_name": "GWEN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AZ",
"license": "D6861",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Avondale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.