Hochan Hwang, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

12347 Issued in CT

Practice address

1212 E Putnam Ave Ste 2
Riverside, CT 06878-1431

Phone

(203) 637-1115

Fax

(203) 637-0848

NPI assigned

Jul 13, 2017

Last updated

Mar 19, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dr. H Dental Care LLC

  dba Trusty Dental

  • Dentist
  • Riverside, CT
  • NPI 1871052746
  NPD (past) Authorized official
• Nihon Shika Group

  • Dental Clinic/Center
  • Riverside, CT
  • NPI 1235259862
  NPD (past)
• Secure Dental II, LLC

  dba Secure Dental Davenport

  • Dentist
  • Davenport, IA
  • NPI 1902258379
  NPD (past)

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

{
    "created_epoch": "1499904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552953600000",
    "number": "1104348960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 E PUTNAM AVE STE 2",
            "city": "RIVERSIDE",
            "state": "CT",
            "postal_code": "068781431",
            "telephone_number": "203-637-1115",
            "fax_number": "203-637-1115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 E PUTNAM AVE STE 2",
            "city": "RIVERSIDE",
            "state": "CT",
            "postal_code": "068781431",
            "telephone_number": "203-637-1115",
            "fax_number": "203-637-0848"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5025 Utica Ridge Rd #103",
            "address_purpose": "LOCATION",
            "city": "Davenport",
            "state": "IA",
            "postal_code": "52807",
            "country_code": "US",
            "telephone_number": "563-345-8888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HWANG",
        "first_name": "HOCHAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-13",
        "last_updated": "2019-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CT",
            "license": "12347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jane Hawman, LAC
• Diane Herman
• Estelle L Hermes, SLP CCC
• Amna M. Hilal
• Hilary Christina Hoffmeister, M.D.
• Elizabeth Ingrassia, M.S.
• Gabrielle Renee James, MD
• Iwona Jaworska-Stella
• Jessica Ashley Johnson, DNP, PMHNP-BC
• Elam H. Joseph, M.D.

• Dentist in Riverside, CT
• Providers in Riverside, CT by specialty
• Dentist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.