Organization Active NPI

Chun PO Huang,DDS,Inc.

  • General Practice Dentistry
  • Modesto, CA
National Provider Identifier
1700361516
Registry record updated Sep 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CHUN PO HUANG,DDS,INC.
Practice address
1130 Coffee Rd Ste 9a
Modesto, CA 95355-4228
Phone
(209) 522-8783
Fax
(209) 526-1470
NPI assigned
Sep 27, 2018
Last updated
Sep 27, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2018

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

Authorized official

Name
Chun PO Huang, DDS
Title
President
Phone
(209) 522-8783

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

1130 Coffee Rd Ste 9a
Modesto, CA 95355-4228

Mailing address

1130 Coffee Rd Ste 9a
Modesto, CA 95355-4228
Phone (209) 522-8783

National Provider Directory

National Provider Directory

Locations

1130 Coffee Rd
Ste 9A
Modesto, CA 95355
Phone (209) 522-8783

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1538006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538006400000",
    "number": "1700361516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 COFFEE RD STE 9A",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953554228",
            "telephone_number": "209-522-8783",
            "fax_number": "209-526-1470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 COFFEE RD STE 9A",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953554228",
            "telephone_number": "209-522-8783",
            "fax_number": "209-526-1470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHUN PO HUANG,DDS,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-27",
        "last_updated": "2018-09-27",
        "status": "A",
        "authorized_official_last_name": "HUANG",
        "authorized_official_first_name": "CHUN",
        "authorized_official_middle_name": "PO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-522-8783",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2018; 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.