Organization Active NPI

Kevin M Huang DMD Inc., a Professional Dental Corporation

  • Dentist
  • Anaheim, CA
National Provider Identifier
1609301712
Registry record updated Apr 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
KEVIN M HUANG DMD INC., A PROFESSIONAL DENTAL CORPORATION
Practice address
522 N Magnolia Ave
Anaheim, CA 92801-4937
Phone
(714) 828-1415
Fax
(714) 828-1715
NPI assigned
Apr 26, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2017

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

Authorized official

Name
Dr. Kevim Menghsiang Huang, DMD
Title
Principal Officer/Owner
Phone
(714) 828-1415

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

522 N Magnolia Ave
Anaheim, CA 92801-4937

Mailing address

15941 Wilmington Rd
Chino Hills, CA 91709-8810
Phone (909) 343-2104

National Provider Directory

National Provider Directory

Locations

522 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 828-1415

NPI Registry JSON

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

{
    "created_epoch": "1493164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493164800000",
    "number": "1609301712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15941 WILMINGTON RD",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917098810",
            "telephone_number": "909-343-2104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 N MAGNOLIA AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928014937",
            "telephone_number": "714-828-1415",
            "fax_number": "714-828-1715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN M HUANG DMD INC., A PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-26",
        "last_updated": "2017-04-26",
        "status": "A",
        "authorized_official_last_name": "HUANG",
        "authorized_official_first_name": "KEVIM",
        "authorized_official_middle_name": "MENGHSIANG",
        "authorized_official_title_or_position": "PRINCIPAL OFFICER/OWNER",
        "authorized_official_telephone_number": "714-828-1415",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2017; 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.