Organization Active NPI

Amanda Huang DMD LLC

Doing business as Art of the smile

  • General Practice Dentistry
  • Federal Way, WA
National Provider Identifier
1922441385
Registry record updated Mar 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE 60262499 Issued in WA
Legal business name
AMANDA HUANG DMD LLC
Doing business as
Art of the smile
Practice address
1706 S 320TH St Ste E
Federal Way, WA 98003-5424
Phone
(206) 552-1952
NPI assigned
Apr 16, 2013
Last updated
Mar 10, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2022

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

Authorized official

Name
Dr. Amanda Jie Huang, DMDNPI 1174551972
Title
Owner
Phone
(206) 552-1952

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DE 60262499 WA Primary

Addresses

Primary practice location

1706 S 320TH St Ste E
Federal Way, WA 98003-5424

Mailing address

1706 S 320TH St Ste E
Federal Way, WA 98003-5424
Phone (206) 552-1952

Other names 1

  • Art of the smile Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220310001855 WA Part B Supplier - Clinic/Group Practice 1759776636 Receives reassigned benefits from 1 practitioner
Practice locations: Federal Way, WA

National Provider Directory

National Provider Directory

Locations

1706 S 320th St
Ste E
Federal Way, WA 98003
Phone (253) 839-4048

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1366070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646870400000",
    "number": "1922441385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 S 320TH ST STE E",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980035424",
            "telephone_number": "206-552-1952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 S 320TH ST STE E",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980035424",
            "telephone_number": "206-552-1952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMANDA HUANG DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-16",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A",
        "authorized_official_last_name": "HUANG",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "JIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-552-1952",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE 60262499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Art of the smile",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Art of the smile",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Federal Way, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.