Organization Active NPI

Jeffrey Chiung-Neng Huang

  • Dentist
  • Lake Forest, CA
National Provider Identifier
1316372238
Registry record updated Sep 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
46828 Issued in CA
Legal business name
JEFFREY CHIUNG-NENG HUANG
Practice address
22373 El Toro Rd
Lake Forest, CA 92630-5053
Phone
(949) 951-5503
NPI assigned
Sep 10, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2013

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

Authorized official

Name
Dr. Jeffrey C. Huang, DDS
Title
Owner
Phone
(949) 951-5503

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 46828 CA Primary

Addresses

Primary practice location

22373 El Toro Rd
Lake Forest, CA 92630-5053

Mailing address

22373 El Toro Rd
Lake Forest, CA 92630-5053
Phone (949) 951-5503

Other identifiers 1

IdentifierTypeStateIssuer
1467520718OtherCAINDIVIDUAL PROVIDER

National Provider Directory

National Provider Directory

Locations

22373 El Toro Rd
Lake Forest, CA 92630
Phone (516) 840-0409

NPI Registry JSON

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

{
    "created_epoch": "1378771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378771200000",
    "number": "1316372238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22373 EL TORO RD",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926305053",
            "telephone_number": "949-951-5503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22373 EL TORO RD",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926305053",
            "telephone_number": "949-951-5503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY CHIUNG-NENG HUANG",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-10",
        "last_updated": "2013-09-10",
        "status": "A",
        "authorized_official_last_name": "HUANG",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-951-5503",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "46828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL PROVIDER",
            "identifier": "1467520718",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Forest, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2013; 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.