Individual provider Active NPI

David Huang, DDS

  • Dentist
  • West Chicago, IL
National Provider Identifier
1841353430
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019025100 Issued in IL
Practice address
254 County Farm Rd
West Chicago, IL 60185-1568
Phone
(630) 876-6000
Fax
(630) 876-6011
NPI assigned
Dec 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 019025100 IL Primary

Addresses

Primary practice location

254 County Farm Rd
West Chicago, IL 60185-1568

Mailing address

254 County Farm Rd
West Chicago, IL 60185-1568
Phone (630) 876-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20160216001997 IL Order and Referring Only - DentistPractitioner - Dentist 3173828902

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019025100ILMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Oral Care 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": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1841353430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 COUNTY FARM RD",
            "city": "WEST CHICAGO",
            "state": "IL",
            "postal_code": "601851568",
            "telephone_number": "630-876-6000",
            "fax_number": "630-876-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 COUNTY FARM RD",
            "city": "WEST CHICAGO",
            "state": "IL",
            "postal_code": "601851568",
            "telephone_number": "630-876-6000",
            "fax_number": "630-876-6011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUANG",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019025100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chicago, IL

Sources for this page

Verify at the official NPI Registry.