Individual provider Active NPI

Youngchoon Joseph Fischer Hahm, D.M.D.

  • Dentist
  • Rio Rancho, NM
National Provider Identifier
1265634273
Registry record updated Dec 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DD4940 Issued in NM
Practice address
1316 Jackie Rd SE Ste 200
Rio Rancho, NM 87124-1045
Phone
(505) 994-9693
NPI assigned
Jun 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DD4940 NM Primary

Addresses

Primary practice location

1316 Jackie Rd SE Ste 200
Rio Rancho, NM 87124-1045

Mailing address

5016 Costa Uasca Dr NW
Albuquerque, NM 87120-5790

Other practice location 1

10820 Comanche Rd NE Ste D
Albuquerque, NM 87111-3983
Phone (505) 323-7700

Other names 1

  • Dr. Youngchoon Fischer Hahm Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
DD4940NMMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Nazario N. Young-Trujillo, DDS, Inc General Practice PastSince Mar 27, 2023 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CDADBA/Endpoint/CDADBA

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671667200000",
    "number": "1265634273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5016 COSTA UASCA DR NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871205790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 JACKIE RD SE STE 200",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241045",
            "telephone_number": "505-994-9693"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10820 Comanche Rd NE Ste D",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871113983",
            "country_code": "US",
            "telephone_number": "505-323-7700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FISCHER HAHM",
        "first_name": "YOUNGCHOON",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-01",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NM",
            "license": "DD4940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YOUNGCHOON",
            "last_name": "HAHM",
            "middle_name": "FISCHER",
            "prefix": "DR.",
            "credential": "D.M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rio Rancho, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2022; 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.