Individual provider Active NPI

Vivian Huang, DMD

  • General Practice Dentistry
  • Antioch, CA
National Provider Identifier
1780016170
Registry record updated Aug 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
54152 Issued in CA
Practice address
3436 Hillcrest Ave
Suite 150
Antioch, CA 94531-6304
Phone
(925) 303-2615
Fax
(925) 303-2631
NPI assigned
Aug 7, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 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 54152 CA Primary

Addresses

Primary practice location

3436 Hillcrest Ave
Suite 150
Antioch, CA 94531-6304

Mailing address

3436 Hillcrest Ave
Suite 150
Antioch, CA 94531-6304
Phone (925) 303-2615

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

NPI Registry JSON

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

{
    "created_epoch": "1375833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375833600000",
    "number": "1780016170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3436 HILLCREST AVE",
            "address_2": "SUITE 150",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945316304",
            "telephone_number": "925-303-2615",
            "fax_number": "925-303-2631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3436 HILLCREST AVE",
            "address_2": "SUITE 150",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945316304",
            "telephone_number": "925-303-2615",
            "fax_number": "925-303-2631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUANG",
        "first_name": "VIVIAN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-07",
        "last_updated": "2013-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "54152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Antioch, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2013; 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.