Whan Yee Im, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

33183 Issued in TX

Practice address

8300 Homestead Rd Ste 3
Houston, TX 77028-2149

Phone

(713) 631-3700

NPI assigned

Jul 6, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Red Bird Dental, PLLC

  dba Homestead Family Dental

  • General Practice Dentistry
  • Houston, TX
  • NPI 1780845016
  NPD (past)

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

{
    "created_epoch": "1499299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1235650631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 HOMESTEAD RD STE 3",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770282149",
            "telephone_number": "713-631-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 HOMESTEAD RD STE 3",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770282149",
            "telephone_number": "713-631-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IM",
        "first_name": "WHAN",
        "middle_name": "YEE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-06",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "33183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie A Ilowiecki, LPC
• Ilsan Acupuncture & Herbs P.C
• Ilsong Jason Chong, M.D.,P.a.
• Joseph Iluore, MD
• Mark Junho Im, MD
• Image America Diagnostic Imaging Center, LTD
• Image America I, LLC
• Imagecho Health Services, Inc
• Images of Sound
• Imagine Abundance LLC

• Dentist in Houston, TX
• Providers in Houston, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.