Individual provider Active NPI

Celia Huang, D.D.S.

  • Dentist
  • Leominster, MA
National Provider Identifier
1447639034
Registry record updated Oct 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN1856884 Issued in MA
Practice address
865 Merriam Ave
Ste 117
Leominster, MA 01453-1230
Phone
(978) 751-8655
NPI assigned
May 28, 2015
Last updated
Oct 4, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN1856884 MA Primary

Addresses

Primary practice location

865 Merriam Ave
Ste 117
Leominster, MA 01453-1230

Mailing address

865 Merriam Ave Ste 117
Leominster, MA 01453-1230
Phone (978) 751-8655

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20211004002104 MA Practitioner - Dentist 0446658603 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lawrence Smile Design LLC Dentist CurrentSince Jun 29, 2021 Accepting new patients
Twin City Dental Care LLC Dentist CurrentSince Jun 29, 2021 Accepting new patients

Locations

171 S Broadway
Lawrence, MA 01843
Phone (978) 989-9988

865 Merriam Ave
Ste 117
Leominster, MA 01453
Phone (978) 751-8655

Organizations & group practices 2

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": "1432771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633305600000",
    "number": "1447639034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "865 MERRIAM AVE STE 117",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014531230",
            "telephone_number": "978-751-8655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 MERRIAM AVE",
            "address_2": "STE 117",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014531230",
            "telephone_number": "978-751-8655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUANG",
        "first_name": "CELIA",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-28",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1856884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leominster, MA

Sources for this page

Verify at the official NPI Registry.