Brandon C Hahn

Primary specialty

DentistTaxonomy code 122300000X

License

DE61095137 Issued in WA

Practice address

6574 153Rd Ave SE
Bellevue, WA 98006-5424

Phone

(425) 213-8301

NPI assigned

Oct 13, 2020

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1602547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602547200000",
    "number": "1174121966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6574 153RD AVE SE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980065424",
            "telephone_number": "425-213-8301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6574 153RD AVE SE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980065424",
            "telephone_number": "425-213-8301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAHN",
        "first_name": "BRANDON",
        "middle_name": "C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-13",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE61095137",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DE61095137",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "gmail.com",
            "affiliation": "N",
            "address_1": "6574 153rd Ave SE",
            "city": "Bellevue",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980065424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Francine Ellen Hagglund, AAC
• Nafiseh Sadat Haghgoo, DO
• Lorinda Lee Hagstrom, OTR
• Daniel Hee-Chul Hahm, PHARMD
• Alice Min Jung Hahn
• Kwang Jin Hahn, D.D.S.
• Maya Hahn, LSWAIC
• Sylvia Hahn
• James D Haines, MD
• Chelsea Haining, MA, LMHC, NCC

• Dentist in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.