Individual provider Active NPI

Hui Huang, D.M.D.

  • General Practice Dentistry
  • Winchester, MA
National Provider Identifier
1760468094
Registry record updated Dec 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
21366 Issued in MA
Practice address
831 Main St FL 2
Winchester, MA 01890-1997
Phone
(781) 570-2212
NPI assigned
Dec 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 21366 MA Primary

Addresses

Primary practice location

831 Main St FL 2
Winchester, MA 01890-1997

Mailing address

18 Ledgewood Rd
Winchester, MA 01890-3121
Phone (617) 877-7706

Other identifiers 1

IdentifierTypeStateIssuer
0205150MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20230201002554 MA Practitioner - Oral SurgeryPractitioner - Dentist 0446622336 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Winchester Family Dental General Practice Current Accepting new patients
Zen Dental Group, LLC. General Practice CurrentSince Oct 20, 2022 Accepting new patients
Broadway Dentist LLC Current Accepting new patients
Hathaway Road Dental, PC General Practice Past Accepting new patients
Hong Dong, D.M.D., P. C. General Practice Past Accepting new patients

Locations

14 Muzzey St
Lexington, MA 02421
Phone (781) 862-1068

Organizations & group practices 5

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": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575936000000",
    "number": "1760468094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 LEDGEWOOD RD",
            "city": "WINCHESTER",
            "state": "MA",
            "postal_code": "018903121",
            "telephone_number": "617-877-7706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 MAIN ST FL 2",
            "city": "WINCHESTER",
            "state": "MA",
            "postal_code": "018901997",
            "telephone_number": "781-570-2212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUANG",
        "first_name": "HUI",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-19",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "21366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0205150",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, MA

Sources for this page

Verify at the official NPI Registry.