Active NPI
Kelly Alexandra Hahn, DDS
- Dentist
- Covington, WA
National Provider Identifier
1205540267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 61298819
- Practice address
- 27237 172ND Ave SE Ste 105a
Covington, WA 98042-7352 - Phone
- (253) 263-7010
- NPI assigned
- Jan 12, 2023
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 61298819 | WA | Primary |
Addresses
Primary practice location
27237 172ND Ave SE Ste 105a
Covington, WA 98042-7352
Mailing address
6574 153Rd Ave SE
Bellevue, WA 98006-5424
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 |
|---|---|---|---|
| 61298819 | WA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington Dental Corporation, PC | Dentist | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673481600000",
"number": "1205540267",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27237 172ND AVE SE STE 105A",
"city": "COVINGTON",
"state": "WA",
"postal_code": "980427352",
"telephone_number": "253-263-7010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAHN",
"first_name": "KELLY",
"middle_name": "ALEXANDRA",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-12",
"last_updated": "2023-01-12",
"certification_date": "2023-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "61298819",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Covington, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.