Patrick Shyn-Lin Huynh

Primary specialty

DentistTaxonomy code 122300000X

License

D012234 Issued in AZ

Practice address

6812 E Brown Rd Ste 102
Mesa, AZ 85207-3757

Phone

(480) 981-8560

NPI assigned

Feb 24, 2023

Last updated

Sep 23, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Michael L. Johnson DDS P.C.

  • Dentist
  • Mesa, AZ
  • NPI 1932301454
  NPD (past)
• Mountain Bridge Dental

  • General Practice Dentistry
  • Mesa, AZ
  • NPI 1508247438
  NPD (past)

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

{
    "created_epoch": "1677196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1467151837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6812 E BROWN RD STE 102",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852073757",
            "telephone_number": "480-981-8560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6812 E BROWN RD STE 102",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852073757",
            "telephone_number": "480-981-8560"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2051 Marengo St",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900331352",
            "country_code": "US",
            "telephone_number": "323-409-5015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUYNH",
        "first_name": "PATRICK",
        "middle_name": "SHYN-LIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-02-24",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D012234",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Huyett, LAC
• Daniel Huynh, PHARMD, RPH
• Dianna Huynh, PHARMD
• Ngan Huynh
• Nick N.K. Huynh, DDS
• Richard Huynh, DMD
• Richard Huynh, DO
• Vinh T Huynh, DMD
• HW Dermatology PLLC (Sunrise Dermatology)
• Beth Hyatt, RD

• Dentist in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; 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.