John Hyun Hur, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

019031869 Issued in IL

Practice address

1350 E Chicago St Unit 4
Elgin, IL 60120-4724

Phone

(415) 260-4819

NPI assigned

Apr 28, 2009

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Nov 23, 2020 through Nov 23, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Fortress Dental Corporation

  • General Practice Dentistry
  • Elgin, IL
  • NPI 1205169182
  NPD (past)
• High Point Dentistry PLLC

  • Dental Clinic/Center
  • Palatine, IL
  • NPI 1952963555
  NPD (past)
• Joms LLC

  • Oral and Maxillofacial Surgery Clinic/Center
  • Naperville, IL
  • NPI 1528543121
  NPD (past)
• Nowell E. Blecha LTD DDS

  • Dental Clinic/Center
  • Naperville, IL
  • NPI 1215109160
  NPD (past)
• Fairfax Oral and Maxillofacial Surgery PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Fairfax, VA
  • NPI 1710907134
  NPD (past)

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

{
    "created_epoch": "1240876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1154565653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 E CHICAGO ST UNIT 4",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601204724",
            "telephone_number": "415-260-4819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 E CHICAGO ST UNIT 4",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601204724",
            "telephone_number": "415-260-4819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUR",
        "first_name": "JOHN",
        "middle_name": "HYUN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-28",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IL",
            "license": "019031869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Hulsey, D.O.
• Lauren Ashley Hultine, APRN, DNP
• Miranda Humes, FNP
• Jamie Lynn Humphrey
• Emily Huprich
• Monica Hurtado
• Farzana Husain, MD
• Parvin Huseynova, LPN
• Rehan Mohammad Hussain, M.D,
• Syed Hussain, M.D.

• Oral and Maxillofacial Surgery (Dentist) in Elgin, IL
• Providers in Elgin, IL by specialty
• Oral and Maxillofacial Surgery (Dentist) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.