DR. LY KHANH HUYNH DMD
NPI 1114411261
Dentist - General Practice in Surprise, AZ
About Dr. Ly Khanh Huynh Dmd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. LY KHANH HUYNH DMD (NPI 1114411261) is an individual general practice provider in Surprise, Arizona, licensed in Arizona (D010061) and active in the NPI registry since June 2018. She has opted out of Medicare through August 14, 2026 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. Ly Khanh Huynh Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 14, 2024 through August 14, 2026.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 85374 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SURPRISE, AZ 85374
SURPRISE, AZ 85374
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Ly Huynh's NPI number?
The NPI number for Ly Huynh is 1114411261. It was assigned to this individual provider in the NPPES registry on June 20, 2018.
Where is Ly Huynh located?
Ly Huynh practices at 15409 W Greenway Rd Ste 100, Surprise, AZ 85374. The listed phone number is (623) 546-3511.
What is Ly Huynh's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Ly Huynh enrolled in Medicare?
No. Ly Huynh has opted out of Medicare through August 14, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
What insurance does Ly Huynh accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Arizona, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 9 other insurers list Ly Huynh as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Ly Huynh was last updated on October 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Ly Khanh Huynh, DMD · NPI 1114411261
General Practice provider in Surprise, Arizona. Individual provider, active in the CMS NPPES registry since June 20, 2018.
## Identity
- **NPI:** 1114411261 (Entity type: Individual)
- **Enumerated:** June 20, 2018
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** D010061 (Arizona)
- **Sole proprietor:** No
## Practice location
- **Address:** 15409 W GREENWAY RD STE 100, Surprise, AZ 85374-4368
- **Phone:** (623) 546-3511
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through August 14, 2026); services are provided under private contract
## Record status
- **NPPES last updated:** October 6, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1114411261) · Data from the CMS NPPES public registry.