Jimmy Kuo Huynh, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

64012 Issued in CA

Practice address

10645 Gracewood PL
San Diego, CA 92130-4843

Phone

(858) 405-1776

NPI assigned

Sep 10, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1410307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410307200000",
    "number": "1487055349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10645 GRACEWOOD PL",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921304843",
            "telephone_number": "858-405-1776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10645 GRACEWOOD PL",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921304843",
            "telephone_number": "858-405-1776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUYNH",
        "first_name": "JIMMY",
        "middle_name": "KUO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-10",
        "last_updated": "2014-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "64012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Huynh, MSN, BSN, NP, RN
• Jamie Lynn Huynh, MD
• Janice Lulu Huynh, PHARM D
• Jasmine Huynh, LCSW
• Jessica Huynh, PHARMD.
• Kevin Minh Huynh
• Khanh Huynh
• Kiet Huynh
• Kiet T Huynh, PA
• Kim Huynh, M.S.

• General Practice Dentistry in San Diego, CA
• Providers in San Diego, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.