Individual provider Active NPI

Erina Hung, DMD

  • Pediatric Dentistry
  • Garden Grove, CA
National Provider Identifier
1619317666
Registry record updated Nov 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
102903 Issued in CA
Practice address
10602 Chapman Ave Ste 200
Garden Grove, CA 92840-3147
Phone
(714) 537-0700
Fax
(714) 638-5991
NPI assigned
Jul 4, 2013
Last updated
Nov 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X S6-192C NV
Pediatric Dentistry 1223P0221X 102903 CA Primary

Addresses

Primary practice location

10602 Chapman Ave Ste 200
Garden Grove, CA 92840-3147

Mailing address

24371 Avenida de Los Ninos
Laguna Niguel, CA 92677-3513
Phone (949) 310-4934

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
102903CAMDPediatric Dentist
S6-192CNVMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Smiles for Kids of Orange County Pediatric Dentistry PastSince Nov 9, 2021 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1372896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635724800000",
    "number": "1619317666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24371 AVENIDA DE LOS NINOS",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926773513",
            "telephone_number": "949-310-4934",
            "fax_number": "239-775-7035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10602 CHAPMAN AVE STE 200",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928403147",
            "telephone_number": "714-537-0700",
            "fax_number": "714-638-5991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNG",
        "first_name": "ERINA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-04",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NV",
            "license": "S6-192C",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "102903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2021; 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.