DR. LY KHANH HUYNH DMD
NPI 1114411261
Dentist - General Practice in Surprise, AZ

Active since June 20, 2018PECOS Enrolled
15409 W GREENWAY RD STE 100, SURPRISE, AZ 85374(623) 546-3511 Get Directions Write a Review

NPPES record last updated: October 6, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Oct 6, 2024, Jun 22, 2018 (2 updates tracked since 2018).

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 is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114411261
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. LY KHANH HUYNHCredential: DMD
Location Address15409 W GREENWAY RD STE 100Surprise, AZ 85374-4368
Mailing Address15409 W Greenway Rd Ste 100Surprise, AZ 85374-4368 · (623) 546-3511
Sole ProprietorNo
Enumeration DateJune 20, 2018
Last NPPES UpdateOctober 6, 20242 updates tracked since enumeration
NPPES CertifiedOctober 6, 2024
NPI 1114411261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in AZ · D010061
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
15409 W GREENWAY RD STE 100, Surprise, AZ 85374

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Ly Khanh Huynh Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

New Patient
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Clinic/Center (Dental)
15409 W GREENWAY RD STE 100
SURPRISE, AZ 85374
Dentist (General Practice)
15409 W GREENWAY RD STE 100
SURPRISE, AZ 85374
Dentist (General Practice)
15409 W GREENWAY RD STE 100
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?

Yes. Ly Huynh is registered in the Medicare PECOS enrollment system.

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.