Individual provider Active NPI

Yung-Ta Huang, DDS

  • General Practice Dentistry
  • Temple City, CA
National Provider Identifier
1659438166
Registry record updated Mar 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
37339 Issued in CA
Practice address
9955 Lower Azusa Rd
Suite 201
Temple City, CA 91780-4041
Phone
(626) 258-2999
Fax
(626) 329-0328
NPI assigned
Jan 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 37339 CA Primary

Addresses

Primary practice location

9955 Lower Azusa Rd
Suite 201
Temple City, CA 91780-4041

Mailing address

9955 Lower Azusa Rd
Suite 201
Temple City, CA 91780-4041
Phone (626) 258-2999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20160511001293 CA Order and Referring Only - DentistPractitioner - Dentist 9537458740

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Yung Ta Huang DDS Inc General Practice Current Accepting new patients

Locations

9955 Lower Azusa Rd
Ste 201
Temple City, CA 91780
Phone (626) 258-2999

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269820800000",
    "number": "1659438166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9955 LOWER AZUSA RD",
            "address_2": "SUITE 201",
            "city": "TEMPLE CITY",
            "state": "CA",
            "postal_code": "917804041",
            "telephone_number": "626-258-2999",
            "fax_number": "626-329-0328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9955 LOWER AZUSA RD",
            "address_2": "SUITE 201",
            "city": "TEMPLE CITY",
            "state": "CA",
            "postal_code": "917804041",
            "telephone_number": "626-258-2999",
            "fax_number": "626-329-0328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUANG",
        "first_name": "YUNG-TA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2010-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "37339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple City, CA

Sources for this page

Verify at the official NPI Registry.