Individual provider Active NPI

Su-Mei Kuo Huang, D.M.D.,

  • General Practice Dentistry
  • Dallas, TX
National Provider Identifier
1275746307
Registry record updated Jul 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
21197 Issued in TX
Practice address
1515 S Buckner Blvd Ste 223
Dallas, TX 75217-1766
Phone
(214) 391-6869
Fax
(214) 391-6874
NPI assigned
May 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2011

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 21197 TX Primary

Addresses

Primary practice location

1515 S Buckner Blvd Ste 223
Dallas, TX 75217-1766

Mailing address

3809 Skyline Dr
Plano, TX 75025-2034
Phone (254) 413-0528

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
21197TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
South Texas Dental Associates, L.P. General Practice Past Accepting new patients
Brident Dental Associates PC 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.

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310342400000",
    "number": "1275746307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3809 SKYLINE DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750252034",
            "telephone_number": "254-413-0528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 S BUCKNER BLVD STE 223",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752171766",
            "telephone_number": "214-391-6869",
            "fax_number": "214-391-6874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUANG",
        "first_name": "SU-MEI",
        "middle_name": "KUO",
        "name_prefix": "Dr.",
        "credential": "D.M.D.,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-07",
        "last_updated": "2011-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "21197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2011; 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.