Active NPI
Ly Thi Hong Huynh
- Dental Hygienist
- San Jose, CA
National Provider Identifier
1841885605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 34034
- Practice address
- 3571 N 1St St # 203
San Jose, CA 95134-1803 - Phone
- (714) 942-4161
- NPI assigned
- Mar 3, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 34034 | CA | Primary |
Addresses
Primary practice location
3571 N 1St St # 203
San Jose, CA 95134-1803
Mailing address
1141 Pembroke Dr
San Jose, CA 95131-2837
Phone (408) 373-8244
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 |
|---|---|---|---|
| 34034 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614729600000",
"number": "1841885605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1141 PEMBROKE DR",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951312837",
"telephone_number": "408-373-8244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3571 N 1ST ST # 203",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951341803",
"telephone_number": "714-942-4161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUYNH",
"first_name": "LY",
"middle_name": "THI HONG",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-03",
"last_updated": "2021-03-03",
"certification_date": "2021-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CA",
"license": "34034",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.