Individual provider Active NPI

Sofie S Huang, DDS

  • Dentist
  • Brooklyn, NY
National Provider Identifier
1578987723
Registry record updated Aug 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
057940 Issued in NY
Practice address
6402 8TH Ave
Suite 304
Brooklyn, NY 11220-4720
Phone
(718) 921-1188
Fax
(718) 921-1198
NPI assigned
Feb 8, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 057940 NY Primary

Addresses

Primary practice location

6402 8TH Ave
Suite 304
Brooklyn, NY 11220-4720

Mailing address

145 E 29TH St
Apt 5D
New York, NY 10016-8169
Phone (646) 725-2003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20160808002486 NY Order and Referring Only - DentistPractitioner - Dentist 7315231719

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1391817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439683200000",
    "number": "1578987723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 E 29TH ST",
            "address_2": "APT 5D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100168169",
            "telephone_number": "646-725-2003",
            "fax_number": "718-921-1198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6402 8TH AVE",
            "address_2": "SUITE 304",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112204720",
            "telephone_number": "718-921-1188",
            "fax_number": "718-921-1198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUANG",
        "first_name": "SOFIE",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-08",
        "last_updated": "2015-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "057940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.