Individual provider Active NPI

David Huynh, DMD

  • General Practice Dentistry
  • Worcester, MA
National Provider Identifier
1255869657
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN1857572 Issued in MA
Practice address
17 Young St
Worcester, MA 01603-1420
Phone
(508) 753-6777
NPI assigned
May 30, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN1857572 MA Primary

Addresses

Primary practice location

17 Young St
Worcester, MA 01603-1420

Mailing address

27 Aberdeen Ave Apt 2
Cambridge, MA 02138-4646
Phone (617) 834-3456

Other practice location 1

809 Grafton St
Worcester, MA 01604-2339
Phone (508) 770-0800

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

LicenseStateTypeSpecialty
DN1857572MAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
DH Elm Practice PLLC General Practice Current Accepting new patients
Webster Square Dental General Practice Past Accepting new patients
Cute Smiles Dental, LLC General Practice Past Accepting new patients

Organizations & group practices 3

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": "1496102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1255869657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 ABERDEEN AVE APT 2",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021384646",
            "telephone_number": "617-834-3456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 YOUNG ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016031420",
            "telephone_number": "508-753-6777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "809 Grafton St",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016042339",
            "country_code": "US",
            "telephone_number": "508-770-0800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUYNH",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-30",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1857572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.