Active NPI
Tai T Huynh, DDS
- Dentist
- San Diego, CA
National Provider Identifier
1730392895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 31286
- Practice address
- 2363 Ulric St
A
San Diego, CA 92111-6447 - Phone
- (858) 279-8665
- Fax
- (858) 279-9668
- NPI assigned
- May 7, 2007
- Last updated
- Jul 9, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 31286 | CA | Primary |
Addresses
Primary practice location
2363 Ulric St
A
San Diego, CA 92111-6447
Mailing address
2363 Ulric St
A
San Diego, CA 92111
Phone (858) 279-8665
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
| License | State | Type | Specialty |
|---|---|---|---|
| 31286 | CA | MD | Psychiatric Hospital |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1730392895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2363 ULRIC ST",
"address_2": "A",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92111",
"telephone_number": "858-279-8665",
"fax_number": "858-279-9668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2363 ULRIC ST",
"address_2": "A",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921116447",
"telephone_number": "858-279-8665",
"fax_number": "858-279-9668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUYNH",
"first_name": "TAI",
"middle_name": "T",
"name_prefix": "Mr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-07",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "31286",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.