Chun PO Huang, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

59302 Issued in CA

Practice address

2030 Coffee Rd
C-4
Modesto, CA 95355-2413

Phone

(209) 238-9444

Fax

(209) 238-9446

NPI assigned

Jun 17, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Soe L. Wynn, DMD, Inc.

  • Dentist
  • Modesto, CA
  • NPI 1689795718
  NPD (past)

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

{
    "created_epoch": "1276732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425340800000",
    "number": "1407177181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 COFFEE RD",
            "address_2": "C-4",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953552413",
            "telephone_number": "209-238-9444",
            "fax_number": "209-238-9446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 COFFEE RD",
            "address_2": "C-4",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953552413",
            "telephone_number": "209-238-9444",
            "fax_number": "209-238-9446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUANG",
        "first_name": "CHUN",
        "middle_name": "PO",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-17",
        "last_updated": "2015-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "59302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nang Zar Che Htun, MD
• Tayzar Htun
• Ocean H. Hu, DDS
• Yingchuan Hu, MD, PHD
• Kenneth C Hua, MD
• Jin Rui Huang, M.D
• Li Huang, M.D.
• Lisa An Huang I, HSE
• Rick P. Huang, MD
• Yujen Huang, NP

• General Practice Dentistry in Modesto, CA
• Providers in Modesto, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2015; 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.

Verify at the official NPI Registry.