NPIMap

Organization Active NPI

Eugene Huang D.D.S., P.a.

  • Dentist
  • Glen Burnie, MD
National Provider Identifier
1336208719
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
8529 Issued in MD
Legal business name
EUGENE HUANG D.D.S., P.A.
Practice address
1811A Crain Hwy S
Glen Burnie, MD 21061-5504
Phone
(410) 760-4455
Fax
(410) 766-9704
NPI assigned
Dec 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

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

Authorized official

Name
Jean Kasten
Title
Office Manager
Phone
(410) 760-4455

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 8529 MD Primary

Addresses

Primary practice location

1811A Crain Hwy S
Glen Burnie, MD 21061-5504

Mailing address

1811A Crain Hwy S
Glen Burnie, MD 21061-5504
Phone (410) 760-4455

National Provider Directory

National Provider Directory

Locations

1811 Crain Hwy S
#A
Glen Burnie, MD 21061
Phone (410) 760-4455

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712188800000",
    "number": "1336208719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811A CRAIN HWY S",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615504",
            "telephone_number": "410-760-4455",
            "fax_number": "410-766-9704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811A CRAIN HWY S",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615504",
            "telephone_number": "410-760-4455",
            "fax_number": "410-766-9704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUGENE HUANG D.D.S., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A",
        "authorized_official_last_name": "KASTEN",
        "authorized_official_first_name": "JEAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "410-760-4455"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MD",
            "license": "8529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; 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.