Active NPI
Jia Huang, DDS
- Pediatric Dentistry
- Flushing, NY
National Provider Identifier
1659639326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 057375
- Practice address
- 13620 38TH Ave Ste 8H
Flushing, NY 11354-4232 - Phone
- (718) 321-9288
- NPI assigned
- May 1, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 057375 | NY | Primary |
Addresses
Primary practice location
13620 38TH Ave Ste 8H
Flushing, NY 11354-4232
Mailing address
13620 38TH Ave Ste 8H
Flushing, NY 11354-4232
Other names 1
- Annie Huang
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170818002266 | NY | Order and Referring Only - Dentist | 6002188463 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 057375 | NY | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427068800000",
"number": "1659639326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13620 38TH AVE STE 8H",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113544232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13620 38TH AVE STE 8H",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113544232",
"telephone_number": "718-321-9288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUANG",
"first_name": "JIA",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-01",
"last_updated": "2015-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NY",
"license": "057375",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANNIE",
"last_name": "HUANG",
"credential": "DDS",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.