Active NPI
Inae Hyun, DDS
- General Practice Dentistry
- Glen Allen, VA
National Provider Identifier
1154795169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 0401415086
- Practice address
- 9629 Craigs Mill Dr
Glen Allen, VA 23060-3556 - Phone
- (804) 263-4493
- NPI assigned
- Nov 15, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 0401415086 | VA | Primary |
Addresses
Primary practice location
9629 Craigs Mill Dr
Glen Allen, VA 23060-3556
Mailing address
9629 Craigs Mill Dr
Glen Allen, VA 23060-3556
Phone (804) 263-4493
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0401415086 | VA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450224000000",
"number": "1154795169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9629 CRAIGS MILL DR",
"city": "GLEN ALLEN",
"state": "VA",
"postal_code": "230603556",
"telephone_number": "804-263-4493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9629 CRAIGS MILL DR",
"city": "GLEN ALLEN",
"state": "VA",
"postal_code": "230603556",
"telephone_number": "804-263-4493"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HYUN",
"first_name": "INAE",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-11-15",
"last_updated": "2015-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "VA",
"license": "0401415086",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glen Allen, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.