Active NPI
Christina Phuc Huynh, DDS
- Pediatric Dentistry
- Saginaw, TX
National Provider Identifier
1578875340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 32784
- Practice address
- 600 E Bailey Boswell Rd Ste 100
Saginaw, TX 76131-3566 - Phone
- (682) 285-1900
- Fax
- (682) 285-1905
- NPI assigned
- Jul 9, 2010
- Last updated
- Dec 15, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 32784 | TX | Primary |
Addresses
Primary practice location
600 E Bailey Boswell Rd Ste 100
Saginaw, TX 76131-3566
Mailing address
2405 W 75TH PL
Prairie Village, KS 66208-3617
Phone (785) 760-0455
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jul 24, 2017 through Jul 24, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32784 | TX | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671062400000",
"number": "1578875340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2405 W 75TH PL",
"city": "PRAIRIE VILLAGE",
"state": "KS",
"postal_code": "662083617",
"telephone_number": "785-760-0455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 E BAILEY BOSWELL RD STE 100",
"city": "SAGINAW",
"state": "TX",
"postal_code": "761313566",
"telephone_number": "682-285-1900",
"fax_number": "682-285-1905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUYNH",
"first_name": "CHRISTINA",
"middle_name": "PHUC",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-09",
"last_updated": "2022-12-15",
"certification_date": "2022-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "TX",
"license": "32784",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saginaw, TX
- Monica Moseley Hollie, PT
- Mary M Holstein, LOT
- Kayla Nicole Holubek, MSAT, ATC, LAT
- Christina Raines Hopkins
- Tanner Scott Hutchinson, DDS
- Icarerx Pharmacy LLC (Saginaw Care Pharmacy)
- Whitney Uchenna Ikemba, DPT
- Steven Douglas Irwin, D.MIN., LPC-S, BCC
- Jason T Redler DC, Ryan Robinson DC, PLLC (SportMed Chiropractic Fort Worth)
- Jason T. Redler, D.C., P.a.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2022; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.