Individual provider Active NPI

Kathleen Dunn Huza, D.M.D

  • Endodontics
  • Trumbull, CT
National Provider Identifier
1346553658
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
12725 Issued in CT
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, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
12725CTMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Huza Endodontics, LLC Endodontics CurrentSince Jan 12, 2025 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.

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

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.

Verify at the official NPI Registry.