Individual provider Active NPI

Henry Huang, D.D.S.

  • General Practice Dentistry
  • Glenmont, NY
National Provider Identifier
1922355403
Registry record updated Sep 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
056203 Issued in NY
Practice address
241 Route 9W
Glenmont, NY 12077-3007
Phone
(518) 776-4939
Fax
(518) 930-4666
NPI assigned
Aug 14, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2015

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 056203 NY Primary

Addresses

Primary practice location

241 Route 9W
Glenmont, NY 12077-3007

Mailing address

241 Route 9W
Glenmont, NY 12077-3007
Phone (518) 776-4939

Other identifiers 1

IdentifierTypeStateIssuer
03546494MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20151217001148 NY Order and Referring Only - DentistPractitioner - Dentist 0648571588

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
056203NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Huang, DDS, PC General Practice 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": "1344902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441065600000",
    "number": "1922355403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 ROUTE 9W",
            "city": "GLENMONT",
            "state": "NY",
            "postal_code": "120773007",
            "telephone_number": "518-776-4939",
            "fax_number": "518-930-4666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 ROUTE 9W",
            "city": "GLENMONT",
            "state": "NY",
            "postal_code": "120773007",
            "telephone_number": "518-776-4939",
            "fax_number": "518-930-4666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUANG",
        "first_name": "HENRY",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-14",
        "last_updated": "2015-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "056203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03546494",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenmont, NY

Sources for this page

Verify at the official NPI Registry.