Individual provider Active NPI

Eugene Huang, DDS

  • General Practice Dentistry
  • Glen Burnie, MD
National Provider Identifier
1699901157
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
14727 Issued in MD
Practice address
1811 Crain Hwy S Ste a
Glen Burnie, MD 21061-5561
Phone
(410) 760-4455
NPI assigned
Jun 10, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 24437 MD
General Practice Dentistry 1223G0001X 14727 MD Primary

Addresses

Primary practice location

1811 Crain Hwy S Ste a
Glen Burnie, MD 21061-5561

Mailing address

1811 Crain Hwy S Ste a
Glen Burnie, MD 21061-5561
Phone (410) 760-4455

Other practice location 1

600 N Wolfe St
Baltimore, MD 21287-0005
Phone (443) 956-2666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20101210000516 MD Practitioner - Oral Surgery 0143417519 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24437MDMDDentist
14727MDMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins University Dentist CurrentSince Sep 4, 2010 Accepting new patients
Johns Hopkins University CurrentSince Sep 4, 2010 Accepting new patients
Eugene Huang D.D.S., P.a. Dentist Current Accepting new patients
Johns Hopkins University Current Accepting new patients

Locations

600 N Wolfe St
#266
Baltimore, MD 21287
Phone (410) 502-4340

600 N Wolfe St
Baltimore, MD 21287

Interoperability endpoints

  • Direct secure messaging: ehuang188648@direct.hopkinsmedicine.org

Organizations & group practices 4

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": "1244592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1699901157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 CRAIN HWY S STE A",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615561",
            "telephone_number": "410-760-4455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 CRAIN HWY S STE A",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615561",
            "telephone_number": "410-760-4455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 N Wolfe St",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212870005",
            "country_code": "US",
            "telephone_number": "443-956-2666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUANG",
        "first_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-10",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "24437",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "14727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

Verify at the official NPI Registry.