Chih Chieh Huang, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DE61437827 Issued in WA

Practice address

1717 Olympia Way Ste 108
Longview, WA 98632-3929

Phone

(360) 636-1900

NPI assigned

Jul 14, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Eid, Jaber, Jassar, PLLC

  • Dental Clinic/Center
  • Chehalis, WA
  • NPI 1013549831
  NPD (past)

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

{
    "created_epoch": "1689292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689292800000",
    "number": "1902585185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 OLYMPIA WAY STE 108",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986323929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 OLYMPIA WAY STE 108",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986323929",
            "telephone_number": "360-636-1900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "32105 1st Ave S Ste B3",
            "address_purpose": "LOCATION",
            "city": "Federal Way",
            "state": "WA",
            "postal_code": "980035719",
            "country_code": "US",
            "telephone_number": "360-636-1900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4018 A St SE Ste 405",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "WA",
            "postal_code": "980023858",
            "country_code": "US",
            "telephone_number": "360-636-1900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1461 NW Louisiana Ave",
            "address_purpose": "LOCATION",
            "city": "Chehalis",
            "state": "WA",
            "postal_code": "985321749",
            "country_code": "US",
            "telephone_number": "360-636-1900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUANG",
        "first_name": "CHIH CHIEH",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-14",
        "last_updated": "2023-07-14",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WA",
            "license": "DE61437827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Howard
• Tess M Howard, AAC, CPC
• Chester CHI Tak Hu, M.D.
• Meituck Hu, MD
• Qingsong Hu, M.D.
• Virginia S. Huang, M.D.
• Zhilin Huang
• Terrie L Huckaba, RPH
• Glenn Hudson, LICSW
• Elizabeth Huebert

• Pediatric Dentistry in Longview, WA
• Providers in Longview, WA by specialty
• Pediatric Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2023; 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.