Individual provider Active NPI

Quang-Minh Huynh, DDS

  • General Practice Dentistry
  • Knoxville, TN
National Provider Identifier
1851083638
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12379 Issued in TN
Practice address
10642 Deerbrook Dr
Knoxville, TN 37922-1941
Phone
(865) 966-4035
NPI assigned
May 22, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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 12379 TN Primary

Addresses

Primary practice location

10642 Deerbrook Dr
Knoxville, TN 37922-1941

Mailing address

1424 Clear Brook Dr
Knoxville, TN 37922-6064
Phone (703) 389-5252

Other practice location 1

818 Middle Creek Rd Ste 1
Sevierville, TN 37862-5017
Phone (865) 218-9177

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

LicenseStateTypeSpecialty
12379TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Knoxville Cosmetic Dentistry PLLC CurrentSince Nov 3, 2024 Accepting new patients
Knoxville Cosmetic and Family Dentistry Dentist PastSince Nov 3, 2024 Accepting new patients

Locations

10642 Deerbrook Dr
Knoxville, TN 37922
Phone (865) 966-4035

Organizations & group practices 2

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": "1684713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1851083638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1424 CLEAR BROOK DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379226064",
            "telephone_number": "703-389-5252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10642 DEERBROOK DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379221941",
            "telephone_number": "865-966-4035"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "818 Middle Creek Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Sevierville",
            "state": "TN",
            "postal_code": "378625017",
            "country_code": "US",
            "telephone_number": "865-218-9177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUYNH",
        "first_name": "QUANG-MINH",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-22",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "12379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; 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.