Individual provider Active NPI

Elizabeth Thao Huynh, D.D.S

  • Dentist
  • Carmichael, CA
National Provider Identifier
1689684342
Registry record updated Dec 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
52996 Issued in CA
Practice address
6500 Coyle Ave Ste 6
Carmichael, CA 95608-0301
Phone
(916) 339-9699
Fax
(916) 339-9628
NPI assigned
Aug 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 52996 CA Primary

Addresses

Primary practice location

6500 Coyle Ave Ste 6
Carmichael, CA 95608-0301

Mailing address

6500 Coyle Ave Ste 6
Carmichael, CA 95608-0301
Phone (916) 339-9699

Other identifiers 1

IdentifierTypeStateIssuer
1689684342OtherCANPI

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
52996CAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638921600000",
    "number": "1689684342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 COYLE AVE STE 6",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956080301",
            "telephone_number": "916-339-9699",
            "fax_number": "916-339-9628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 COYLE AVE STE 6",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956080301",
            "telephone_number": "916-339-9699",
            "fax_number": "916-339-9628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUYNH",
        "first_name": "ELIZABETH",
        "middle_name": "THAO",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "52996",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1689684342",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmichael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.