Individual provider Active NPI

Bradley F Huffaker, DDS

  • General Practice Dentistry
  • York, PA
National Provider Identifier
1518487354
Registry record updated Oct 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS042075 Issued in PA
Practice address
116 S George St
York, PA 17401
Phone
(717) 845-8617
NPI assigned
Jun 22, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2022

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 DS042075 PA Primary

Addresses

Primary practice location

116 S George St
York, PA 17401

Mailing address

116 S George St
York, PA 17401-1474

Other identifiers 1

IdentifierTypeStateIssuer
DS042075OtherPADENTAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20191231000716 PA Practitioner - Dentist 9436429511 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS042075PAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Family First Health Corporation CurrentSince Nov 4, 2019 Accepting new patients
Family First Health Corporation CurrentSince Nov 4, 2019 Accepting new patients

Locations

1275 York Rd
Ste 17
Gettysburg, PA 17325
Phone (717) 337-9400

1230 High St
Hanover, PA 17331
Phone (717) 632-9052

116 S George St
York, PA 17401
Phone (717) 801-4846

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1498089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665360000000",
    "number": "1518487354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 S GEORGE ST",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174011474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 S GEORGE ST",
            "city": "YORK",
            "state": "PA",
            "postal_code": "17401",
            "telephone_number": "717-845-8617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUFFAKER",
        "first_name": "BRADLEY",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-22",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS042075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "DS042075",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

Verify at the official NPI Registry.