Organization Active NPI

Sen Jung Huang DDS Apc

  • Dentist
  • Diamond Bar, CA
National Provider Identifier
1477564326
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
47910 Issued in CA
Legal business name
SEN JUNG HUANG DDS APC
Practice address
23475 Golden Springs Dr
Diamond Bar, CA 91765
Phone
(909) 860-7171
Fax
(909) 860-7191
NPI assigned
Aug 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Sen-Jung Huang, DDSNPI 1992251979
Title
President
Phone
(909) 860-7171

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 47910 CA Primary

Addresses

Primary practice location

23475 Golden Springs Dr
Diamond Bar, CA 91765

Mailing address

23475 Golden Springs Dr
Diamond Bar, CA 91765
Phone (909) 860-7171

Other names 1

  • Evergreen Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

23475 Golden Springs Dr
Diamond Bar, CA 91765
Phone (909) 860-7171

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477564326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23475 GOLDEN SPRINGS DR",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "91765",
            "telephone_number": "909-860-7171",
            "fax_number": "909-860-7191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23475 GOLDEN SPRINGS DR",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "91765",
            "telephone_number": "909-860-7171",
            "fax_number": "909-860-7191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEN JUNG HUANG DDS APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HUANG",
        "authorized_official_first_name": "SEN-JUNG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-860-7171",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "47910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evergreen Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Diamond Bar, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.