Organization Active NPI

Hana Dental Ny P.C.

  • General Practice Dentistry
  • New York, NY
National Provider Identifier
1013921824
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
048768 Issued in NY
Legal business name
HANA DENTAL NY P.C.
Practice address
35 W 31St St FL 2
New York, NY 10001-4418
Phone
(212) 594-9197
Fax
(212) 594-9537
NPI assigned
Jul 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Han Jong Kang, D.D.S.
Title
President
Phone
(212) 594-9197

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 048768 NY Primary

Addresses

Primary practice location

35 W 31St St FL 2
New York, NY 10001-4418

Mailing address

35 W 31St St FL 2
New York, NY 10001-4418
Phone (212) 594-9197

Other identifiers 1

IdentifierTypeStateIssuer
02064120MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Hana Dental Ny PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

35 W 31st St
Fl 2
New York, NY 10001
Phone (212) 594-9197

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013921824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 W 31ST ST FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100014418",
            "telephone_number": "212-594-9197",
            "fax_number": "212-594-9537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 W 31ST ST FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100014418",
            "telephone_number": "212-594-9197",
            "fax_number": "212-594-9537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANA DENTAL NY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KANG",
        "authorized_official_first_name": "HAN",
        "authorized_official_middle_name": "JONG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-594-9197",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "048768",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02064120",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.