Jae Ho Ahn, DDS, PS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE00010888 Issued in WA

Legal business name

JAE HO AHN, DDS, PS

Practice address

11066 5TH Ave NE
Suite #203
Seattle, WA 98125-6156

Phone

(206) 361-9869

Fax

(206) 361-1156

NPI assigned

Feb 29, 2012

Last updated

Feb 29, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jae Ho Ahn, DDSNPI 1811192933

Title

President, Secretary

Phone

(206) 200-9683

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jae Ho Ahn, DDS

  • Dentist
  • Seattle, WA
  • NPI 1811192933
  NPD (past) Authorized official
• Gene Fredrick Long, DDS

  • General Practice Dentistry
  • Seattle, WA
  • NPI 1124112107
  NPD (past)

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

{
    "created_epoch": "1330473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330473600000",
    "number": "1063786671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11066 5TH AVE NE",
            "address_2": "SUITE #203",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981256156",
            "telephone_number": "206-361-9869",
            "fax_number": "206-361-1156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11066 5TH AVE NE",
            "address_2": "SUITE #203",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981256156",
            "telephone_number": "206-361-9869",
            "fax_number": "206-361-1156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAE HO AHN, DDS, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-29",
        "last_updated": "2012-02-29",
        "status": "A",
        "authorized_official_last_name": "AHN",
        "authorized_official_first_name": "JAE",
        "authorized_official_middle_name": "HO",
        "authorized_official_title_or_position": "PRESIDENT, SECRETARY",
        "authorized_official_telephone_number": "206-200-9683",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00010888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jada Health Corporation
• Jade Kim DDS PS
• Jade Medicine PLLC
• Sara Jade, PHARMD
• James Lawrence Jadlos, ATC, LAT
• Jae Seon Kim DDS MSD PLLC
• Dawn Jae, MS, RDN
• Alana Jaeck, LMHC
• Eric P Jaecks, MD
• Joanna Christine Jaecks, PHARMD CANDIDATE

• General Practice Dentistry in Seattle, WA
• Providers in Seattle, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2012; 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.