Kyoung Soo Han, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11603 Issued in NC

Practice address

1595 Glidewell Dr Ste 104
Burlington, NC 27215-8254

Phone

(336) 524-0099

NPI assigned

Jul 10, 2017

Last updated

Mar 2, 2020By 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 NY

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.

• Ko, D.D.S. & Han, D.D.S., P.L.L.C.

  dba Durham Dental Studio

  • General Practice Dentistry
  • Durham, NC
  • NPI 1356197412
  NPD Authorized official
• Dr. Oler & Assoc. Burlington, P.a.

  dba DentalWorks

  • General Practice Dentistry
  • Burlington, NC
  • NPI 1972917318
  NPD (past)

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

{
    "created_epoch": "1499644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583107200000",
    "number": "1255853412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2464 BRISTOL CREEK DR",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275607880",
            "telephone_number": "347-334-3564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1595 GLIDEWELL DR STE 104",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272158254",
            "telephone_number": "336-524-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAN",
        "first_name": "KYOUNG SOO",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-10",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "11603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Hamilton, D.C.
• Jacob Harold Hamlin
• Sheri Hammock
• Blake Maxwell Hampton, MD
• Lizet Hampton, PA
• William Franklin Hancock Jr., M.D.
• Vishwanath Hande, MD
• Hanger Prosthetics & Orthotics East, Inc. (Hanger Clinic)
• Leslie Marie Hargis-Fuller, DDS
• Gerald Wayne Hargis, D.D.S.

• General Practice Dentistry in Burlington, NC
• Providers in Burlington, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2020; 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.