Active NPI
Jeffrey Huang, DDS
- General Practice Dentistry
- Poughkeepsie, NY
National Provider Identifier
1912223231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 055633
- Practice address
- 13 Market St
Poughkeepsie, NY 12601-3207 - Phone
- (845) 849-0403
- Fax
- (845) 849-0488
- NPI assigned
- Apr 12, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| General Practice Dentistry | 1223G0001X | 055633 | NY | Primary |
Addresses
Primary practice location
13 Market St
Poughkeepsie, NY 12601-3207
Mailing address
38 Rutgers St
Apt.# 19E
New York, NY 10002-7408
Phone (315) 516-9900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03369308 | Medicaid | NY |
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 |
|---|---|---|---|
| 055633 | NY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gentle Dental of the Hudson Valley | Past | Accepting new patients | |
| Royal Smile Dentistry PC | General Practice | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Poughkeepsie, NY
- NPI 1225464910
-
- Dentist
- Poughkeepsie, NY
- NPI 1801182894
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435363200000",
"number": "1912223231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38 RUTGERS ST",
"address_2": "APT.# 19E",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100027408",
"telephone_number": "315-516-9900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13 MARKET ST",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126013207",
"telephone_number": "845-849-0403",
"fax_number": "845-849-0488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUANG",
"first_name": "JEFFREY",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-04-12",
"last_updated": "2015-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "055633",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03369308",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Poughkeepsie, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.