Individual provider Active NPI

Hueychung Ghi, DDS

  • General Practice Dentistry
  • Flushing, NY
National Provider Identifier
1760828156
Registry record updated May 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
036029 Issued in NY
Practice address
13640 39TH Ave
Suite#402
Flushing, NY 11354-5536
Phone
(718) 886-0900
Fax
(718) 886-0999
NPI assigned
May 13, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2013

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 036029 NY Primary

Addresses

Primary practice location

13640 39TH Ave
Suite#402
Flushing, NY 11354-5536

Mailing address

13640 39TH Ave
Suite#402
Flushing, NY 11354-5536
Phone (718) 886-0900

Other identifiers 1

IdentifierTypeStateIssuer
00696731MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20160513001623 NY Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 9830488824

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
036029NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hueychung Ghi, DDS PC General Practice Past Accepting new patients

Organizations & group practices 1

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": "1368403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368403200000",
    "number": "1760828156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13640 39TH AVE",
            "address_2": "SUITE#402",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545536",
            "telephone_number": "718-886-0900",
            "fax_number": "718-886-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13640 39TH AVE",
            "address_2": "SUITE#402",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545536",
            "telephone_number": "718-886-0900",
            "fax_number": "718-886-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHI",
        "first_name": "HUEYCHUNG",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-13",
        "last_updated": "2013-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "036029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00696731",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.