Byungdo B Han, D.D.S./PH.D.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

8892 Issued in SC

Practice address

7701 Trenholm Road Ext
Columbia, SC 29223-1725

Phone

(803) 736-6000

NPI assigned

Jun 6, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Camden Pediatric Dentistry, LLC

  • Pediatric Dentistry
  • Camden, SC
  • NPI 1558160945
  NPD Authorized official
• Carolina Children'S Dentistry, PA

  • Pediatric Dentistry
  • Columbia, SC
  • NPI 1396899175
  NPD (past)

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

{
    "created_epoch": "1433548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589414400000",
    "number": "1073993804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7701 TRENHOLM ROAD EXT",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292231725",
            "telephone_number": "803-736-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7701 TRENHOLM ROAD EXT",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292231725",
            "telephone_number": "803-736-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAN",
        "first_name": "BYUNGDO",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "D.D.S./PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-06",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.024500",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "SC",
            "license": "8892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phillip Merrida Hampton, CRNA
• Renee M Hampton, MA LPC
• Dale Rutledge Hamrick, MD
• Lisa Hamrick, PHD
• Nada J Hamzy, MD
• Woojin Han
• Chelsea Mizzell Hance, DPT
• Braden Ian Hanchey, LMSW
• Angela Christa Hancock, MSP, CCC-SLP
• William Chad Hancock, PHARMD

• Pediatric Dentistry in Columbia, SC
• Providers in Columbia, SC by specialty
• Pediatric Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.