Mark D Huzyak, DMD

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DN0010531 Issued in FL

Practice address

400 Celebration PL
A-260
Celebration, FL 34747-4970

Phone

(407) 566-2222

Fax

(407) 566-1650

NPI assigned

Feb 28, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Platinum Dental Group PA

  • Dentist
  • Celebration, FL
  • NPI 1003947326
  NPD (past) Authorized official

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295862845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "741 FRONT ST",
            "address_2": "#330",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "347474991",
            "telephone_number": "407-566-2222",
            "fax_number": "407-566-1650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CELEBRATION PL",
            "address_2": "A-260",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "347474970",
            "telephone_number": "407-566-2222",
            "fax_number": "407-566-1650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUZYAK",
        "first_name": "MARK",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "FL",
            "license": "DN0010531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER ID BCBS FL",
            "identifier": "63681B",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEE ID WDW WRKER COMP",
            "identifier": "76",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GRP ID UNITED CONCORDIA",
            "identifier": "973990",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GRP ID UNITED HEALTHCARE",
            "identifier": "31240",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mikayla Joy Huestis, MD
• Sarah Hughes, RPH
• Ma Genefe Laguna Hutchinson, DPT
• Lynn Huynh
• Sandrine Thien Kim Huynh, PHARM.D.,BCPS
• Kelly Marie Iannazzo, PA-C
• Elizabeth Anne Ide
• Edward Infantolino, M.D.
• Elizabeth Elliott Ingari, PHARMD
• Irecovery, LLC

• Orthodontics and Dentofacial Orthopedics Dentistry in Celebration, FL
• Providers in Celebration, FL by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Florida

• 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.

Verify at the official NPI Registry.