Individual provider Active NPI

Tong-Yen Huang, D.D.S.

  • Endodontics
  • MC Lean, VA
National Provider Identifier
1689807471
Registry record updated Aug 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
0401412573 Issued in VA
Practice address
1313 Dolley Madison Blvd
Suite 307
MC Lean, VA 22101-3953
Phone
(703) 847-0989
Fax
(703) 847-2681
NPI assigned
Aug 27, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 0401412573 VA Primary

Addresses

Primary practice location

1313 Dolley Madison Blvd
Suite 307
MC Lean, VA 22101-3953

Mailing address

1313 Dolley Madison Blvd
Suite 307
MC Lean, VA 22101-3953
Phone (703) 847-0989

Other names 1

  • Andrea Huang Other name

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
0401412573VAMDEndodontist

NPI Registry JSON

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

{
    "created_epoch": "1251331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251331200000",
    "number": "1689807471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 DOLLEY MADISON BLVD",
            "address_2": "SUITE 307",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013953",
            "telephone_number": "703-847-0989",
            "fax_number": "703-847-2681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 DOLLEY MADISON BLVD",
            "address_2": "SUITE 307",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013953",
            "telephone_number": "703-847-0989",
            "fax_number": "703-847-2681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUANG",
        "first_name": "TONG-YEN",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-27",
        "last_updated": "2009-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "VA",
            "license": "0401412573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "HUANG",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in MC Lean, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2009; 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.