Hyeon-Young Noh, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30-02-0980 Issued in OH

Practice address

117 E Chicago St
Eaton, OH 45320-1443

Phone

(937) 456-4757

Fax

(937) 456-1000

NPI assigned

Nov 28, 2006

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

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Hyeon-Young Noh DDS LLC

  • General Practice Dentistry
  • Eaton, OH
  • NPI 1629270558
  NPD (past) Authorized official

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225104243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 E CHICAGO ST",
            "address_2": "P.O. BOX 368",
            "city": "EATON",
            "state": "OH",
            "postal_code": "453201443",
            "telephone_number": "937-456-4757",
            "fax_number": "937-456-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 E CHICAGO ST",
            "city": "EATON",
            "state": "OH",
            "postal_code": "453201443",
            "telephone_number": "937-456-4757",
            "fax_number": "937-456-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOH",
        "first_name": "HYEON-YOUNG",
        "name_prefix": "Mr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30-02-0980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2121644",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Neace, FNP
• Jennie Lynne Newton, RA
• Michelle NG
• Austin Nickell
• Lori Sue Noah
• Northside Optical LLC
• October Enterprises, Inc.
• October Enterprises, Inc.
• Lori Kay Oda, MS, AT, ATC
• Ohio CVS Stores LLC

• General Practice Dentistry in Eaton, OH
• Providers in Eaton, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.