Active NPI
Kathleen Dunn Huza, D.M.D
- Endodontics
- Trumbull, CT
National Provider Identifier
1346553658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 12725
- Practice address
- 115 Technology Dr Unit C106
Trumbull, CT 06611-6347 - Phone
- (203) 445-6000
- Fax
- (475) 231-1041
- NPI assigned
- Jul 16, 2010
- Last updated
- Aug 19, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 12725 | CT | Primary |
| Endodontics | 1223E0200X | 056013 | NY |
Addresses
Primary practice location
115 Technology Dr Unit C106
Trumbull, CT 06611-6347
Mailing address
115 Technology Dr Unit C106
Trumbull, CT 06611-6347
Phone (203) 445-6000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12725 | CT | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Huza Endodontics, LLC | Endodontics | Current | Accepting new patients |
Locations
115 Technology Dr
Unit C106
Trumbull, CT 06611
Phone (203) 445-6000
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.
-
- Endodontics
- Trumbull, CT
- NPI 1770393977
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660867200000",
"number": "1346553658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 TECHNOLOGY DR UNIT C106",
"city": "TRUMBULL",
"state": "CT",
"postal_code": "066116347",
"telephone_number": "203-445-6000",
"fax_number": "475-231-1041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 TECHNOLOGY DR UNIT C106",
"city": "TRUMBULL",
"state": "CT",
"postal_code": "066116347",
"telephone_number": "203-445-6000",
"fax_number": "475-231-1041"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUZA",
"first_name": "KATHLEEN",
"middle_name": "DUNN",
"name_prefix": "Dr.",
"credential": "D.M.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-16",
"last_updated": "2022-08-19",
"certification_date": "2022-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "CT",
"license": "12725",
"primary": true
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "NY",
"license": "056013",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Trumbull, CT
- Susan Humphrey, OTR
- William Allen Hunt, MD
- Camryn Cailey Hurley, PA-C
- Faith Dang-Khoa Huynh, PA-C
- Huza Endodontics, LLC
- Insideout Psychotherapy and Wellness PLLC
- Insight Solutions Counseling, LLC
- Integramed Medical Connecticut, LLC (Sher Institute for Reproductive Medicine Conneticut)
- Integrity Mental Health, LLC (Integrity Mental Health)
- Sophie Jaffe, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.