Individual provider Active NPI

Yuehua Edward Huang, D.D.S.

  • General Practice Dentistry
  • Brooklyn, NY
National Provider Identifier
1306001136
Registry record updated Dec 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
053936 Issued in NY
Practice address
6402 8TH Ave Ste 304
Brooklyn, NY 11220-4720
Phone
(718) 921-1188
Fax
(718) 921-1198
NPI assigned
Jul 21, 2008
Last updated
Dec 12, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2012

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 053936 NY Primary

Addresses

Primary practice location

6402 8TH Ave Ste 304
Brooklyn, NY 11220-4720

Mailing address

737 68TH St
Brooklyn, NY 11220-5622
Phone (718) 921-1188

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160316000299 NY Order and Referring Only - General PracticePractitioner - General Practice 4688970742

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1216598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355270400000",
    "number": "1306001136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "737 68TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112205622",
            "telephone_number": "718-921-1188",
            "fax_number": "718-921-1198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6402 8TH AVE STE 304",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112204720",
            "telephone_number": "718-921-1188",
            "fax_number": "718-921-1198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUANG",
        "first_name": "YUEHUA",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-21",
        "last_updated": "2012-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "053936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.