Active NPI
Debby Hwang, DMD
- Periodontics
- Ann Arbor, MI
National Provider Identifier
1326168311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 2901018927
- Practice address
- 2474 Tapio Cir
Ann Arbor, MI 48105-2287 - Phone
- (734) 707-7349
- NPI assigned
- Mar 31, 2007
- Last updated
- Dec 18, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 2901018927 | MI | Primary |
Addresses
Primary practice location
2474 Tapio Cir
Ann Arbor, MI 48105-2287
Mailing address
2474 Tapio Cir
Ann Arbor, MI 48105-2287
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150529002461 | MI | Order and Referring Only - Oral Surgery | 5890016000 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinity Dental Health, PLLC | Periodontics | Current | Accepting new patients |
Locations
3768 Packard St
Ste B
Ann Arbor, MI 48108
Phone (734) 975-0100
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702857600000",
"number": "1326168311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2474 TAPIO CIR",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481052287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2474 TAPIO CIR",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481052287",
"telephone_number": "734-707-7349"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HWANG",
"first_name": "DEBBY",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-31",
"last_updated": "2023-12-18",
"certification_date": "2023-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "MI",
"license": "2901018927",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.