Active NPI
Min Jung Hwang
- General Practice Dentistry
- North Augusta, SC
National Provider Identifier
1164885885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 9254
- Practice address
- 1252 Knox Ave
North Augusta, SC 29841-4055 - Phone
- (803) 599-4045
- NPI assigned
- Mar 30, 2016
- Sex
- Female
- Sole proprietor
- No
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 | 9254 | SC | Primary |
Addresses
Primary practice location
1252 Knox Ave
North Augusta, SC 29841-4055
Mailing address
1252 Knox Ave
North Augusta, SC 29841-4055
Phone (803) 599-4045
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 |
|---|---|---|---|
| 9254 | SC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538956800000",
"number": "1164885885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1252 KNOX AVE",
"city": "NORTH AUGUSTA",
"state": "SC",
"postal_code": "298414055",
"telephone_number": "803-599-4045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1252 KNOX AVE",
"city": "NORTH AUGUSTA",
"state": "SC",
"postal_code": "298414055",
"telephone_number": "803-599-4045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HWANG",
"first_name": "MIN JUNG",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-30",
"last_updated": "2018-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "SC",
"license": "9254",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Augusta, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.