Organization Active NPI

Jonathan Huang DMD Ms PHD and Michiko Huang DDS

  • Prosthodontics
  • Edmonds, WA
National Provider Identifier
1588183289
Registry record updated Mar 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
Legal business name
JONATHAN HUANG DMD MS PHD AND MICHIKO HUANG DDS
Practice address
21727 76TH Ave W Ste 110
Edmonds, WA 98026-7549
Phone
(425) 775-1055
NPI assigned
Sep 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2019

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

Authorized official

Name
Jonathan Huang, DMDNPI 1033635495
Title
Dentist
Phone
(205) 533-4100

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X
ProsthodonticsGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0700X Primary

Addresses

Primary practice location

21727 76TH Ave W Ste 110
Edmonds, WA 98026-7549

Mailing address

21727 76TH Ave W Ste 110
Edmonds, WA 98026-7549
Phone (425) 775-1055

National Provider Directory

National Provider Directory

Locations

21727 76th Ave W
Ste 110
Edmonds, WA 98026
Phone (205) 948-5455

Practitioners & affiliated clinicians

Practitioners 2

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": "1505260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552867200000",
    "number": "1588183289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21727 76TH AVE W STE 110",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980267549",
            "telephone_number": "425-775-1055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21727 76TH AVE W STE 110",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980267549",
            "telephone_number": "425-775-1055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN HUANG DMD MS PHD AND MICHIKO HUANG DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-13",
        "last_updated": "2019-03-18",
        "status": "A",
        "authorized_official_last_name": "HUANG",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "205-533-4100",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmonds, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2019; 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.