Individual provider Active NPI

Shih-Yuan Huang, D.D.S.

  • Dentist
  • Los Angeles, CA
National Provider Identifier
1992836217
Registry record updated Jan 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
41018 Issued in CA
Practice address
1901 W 8TH St
Suite #E
Los Angeles, CA 90057-4900
Phone
(213) 483-8180
NPI assigned
Mar 8, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 41018 CA Primary

Addresses

Primary practice location

1901 W 8TH St
Suite #E
Los Angeles, CA 90057-4900

Mailing address

1901 W 8TH St
Suite #E
Los Angeles, CA 90057-4900
Phone (213) 483-8180

Other identifiers 1

IdentifierTypeStateIssuer
D41018OtherCADENTICAL REND. PROVIDER #

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

LicenseStateTypeSpecialty
41018CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Huang and Wu DDS Inc Current Accepting new patients

Locations

1901 W 8th St
Ste E
Los Angeles, CA 90057
Phone (213) 483-8180

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": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580083200000",
    "number": "1992836217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 W 8TH ST",
            "address_2": "SUITE #E",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900574900",
            "telephone_number": "213-483-8180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 W 8TH ST",
            "address_2": "SUITE #E",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900574900",
            "telephone_number": "213-483-8180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUANG",
        "first_name": "SHIH-YUAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "41018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTICAL REND. PROVIDER #",
            "identifier": "D41018",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.