Individual provider Active NPI

Dick Cheung Huang, DMD

  • General Practice Dentistry
  • West Sacramento, CA
National Provider Identifier
1992761100
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
31284 Issued in CA
Practice address
1102 Jefferson Blvd
Suite a
West Sacramento, CA 95691-3305
Phone
(916) 372-5757
Fax
(916) 372-4791
NPI assigned
Apr 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 31284 CA Primary

Addresses

Primary practice location

1102 Jefferson Blvd
Suite a
West Sacramento, CA 95691-3305

Mailing address

1102 Jefferson Blvd
Suite a
West Sacramento, CA 95691-3305
Phone (916) 372-5757

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20151216002338 CA Order and Referring Only - DentistPractitioner - Dentist 2769703164

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
31284CAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992761100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 JEFFERSON BLVD",
            "address_2": "SUITE A",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956913305",
            "telephone_number": "916-372-5757",
            "fax_number": "916-372-4791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 JEFFERSON BLVD",
            "address_2": "SUITE A",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956913305",
            "telephone_number": "916-372-5757",
            "fax_number": "916-372-4791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUANG",
        "first_name": "DICK",
        "middle_name": "CHEUNG",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "31284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Sacramento, CA

Sources for this page

Verify at the official NPI Registry.