Active NPI
Aaron Huang, DDS
- Dentist
- Vancouver, WA
National Provider Identifier
1972935021
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DE60393621
- Practice address
- 9409 NE Hwy 99
Suite B
Vancouver, WA 98665 - Phone
- (360) 326-4740
- Fax
- (360) 326-4740
- NPI assigned
- Jul 31, 2013
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | DE60393621 | WA | Primary |
Addresses
Primary practice location
9409 NE Hwy 99
Suite B
Vancouver, WA 98665
Mailing address
9409 NE NE 99
Suite B
Vancouver, WA 98665
Phone (360) 326-4740
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160614001352 | WA | Order and Referring Only - Dentist | 8628369170 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE60393621 | WA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premiere Dental | 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.
-
- General Practice Dentistry
- Camas, WA
- NPI 1902021777
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666137600000",
"number": "1972935021",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9409 NE NE 99",
"address_2": "SUITE B",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "98665",
"telephone_number": "360-326-4740",
"fax_number": "360-326-9554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9409 NE HWY 99",
"address_2": "SUITE B",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "98665",
"telephone_number": "360-326-4740",
"fax_number": "360-326-4740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUANG",
"first_name": "AARON",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-07-31",
"last_updated": "2022-10-19",
"certification_date": "2022-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "DE60393621",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.