Active NPI
Steven Kirk Huffaker, DMD
- Endodontics
- Glens Falls, NY
National Provider Identifier
1962662213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 054364
- Practice address
- 100 Glen St
Suite 1B
Glens Falls, NY 12801-4422 - Phone
- (518) 792-3636
- NPI assigned
- Jun 11, 2008
- Last updated
- May 21, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 054364 | NY | Primary |
Addresses
Primary practice location
100 Glen St
Suite 1B
Glens Falls, NY 12801-4422
Mailing address
453 Dixon Road
BLDG #3
Queensbury, NY 12804
Phone (518) 792-3636
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 |
|---|---|---|---|
| 054364 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747785600000",
"number": "1962662213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "453 DIXON ROAD",
"address_2": "BLDG #3",
"city": "QUEENSBURY",
"state": "NY",
"postal_code": "12804",
"telephone_number": "518-792-3636",
"fax_number": "518-792-6847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 GLEN ST",
"address_2": "SUITE 1B",
"city": "GLENS FALLS",
"state": "NY",
"postal_code": "128014422",
"telephone_number": "518-792-3636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUFFAKER",
"first_name": "STEVEN",
"middle_name": "KIRK",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-06-11",
"last_updated": "2025-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "NY",
"license": "054364",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glens Falls, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.