Individual provider Active NPI

Jee Hye Huh, DMD

  • Dentist
  • Loma Linda, CA
National Provider Identifier
1407352099
Registry record updated Apr 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
102347 Issued in CA
Practice address
11092 Anderson St Prince Hall 1452
Loma Linda, CA 92350-4330
Phone
(909) 558-4689
NPI assigned
Apr 3, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 102347 CA Primary

Addresses

Primary practice location

11092 Anderson St Prince Hall 1452
Loma Linda, CA 92350-4330

Mailing address

11092 Anderson Street Prince Hall 3301
Loma Linda, CA 92350-0001

Other names 1

  • Amy Jee Hye Huh Other name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
102347CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Aj Huh Dental Corp CurrentSince Dec 17, 2023 Accepting new patients

Locations

2780 Cabot Dr
Ste 5155
Corona, CA 92883
Phone (951) 444-8559

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1522713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524960000000",
    "number": "1407352099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11092 ANDERSON STREET PRINCE HALL 3301",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923500001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11092 ANDERSON ST PRINCE HALL 1452",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923504330",
            "telephone_number": "909-558-4689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUH",
        "first_name": "JEE HYE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-03",
        "last_updated": "2018-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "102347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY JEE HYE",
            "last_name": "HUH",
            "credential": "DMD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Loma Linda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2018; 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.