Individual provider Active NPI

Samuel K. Huang, D.D.S.

  • General Practice Dentistry
  • Rockville, MD
National Provider Identifier
1427154640
Registry record updated Jul 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9016 Issued in MD
Practice address
6211 Executive Blvd.
Rockville, MD 20852
Phone
(301) 468-4001
Fax
(301) 468-9003
NPI assigned
Sep 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 9016 MD Primary

Addresses

Primary practice location

6211 Executive Blvd.
Rockville, MD 20852

Mailing address

6211 Executive Blvd.
Rockville, MD 20852
Phone (301) 468-4001

Other practice location 1

196 Thomas Johnson Dr Ste 100
Frederick, MD 21702-4520
Phone (301) 631-5748

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL huang.rockville@gmail.com Direct

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
9016MDMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Samuel K. Huang DDS LLC CurrentSince Jun 21, 2020 Accepting new patients
Samuel K. Huang DDS LLC Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

196 Thomas Johnson Dr
Ste 100
Frederick, MD 21702
Phone (301) 631-5748

Organizations & group practices 3

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": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562630400000",
    "number": "1427154640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6211 EXECUTIVE BLVD.",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "20852",
            "telephone_number": "301-468-4001",
            "fax_number": "301-468-9003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6211 EXECUTIVE BLVD.",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "20852",
            "telephone_number": "301-468-4001",
            "fax_number": "301-468-9003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "196 Thomas Johnson Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217024520",
            "country_code": "US",
            "telephone_number": "301-631-5748",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUANG",
        "first_name": "SAMUEL",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2019-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "9016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "huang.rockville@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Gmail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Gmail",
            "address_1": "6211 Executive Blvd.",
            "city": "Rockville",
            "state": "MD",
            "country_code": "US",
            "postal_code": "20852",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2019; 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.