Active NPI
Youngchoon Joseph Fischer Hahm, D.M.D.
- Dentist
- Rio Rancho, NM
National Provider Identifier
1265634273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DD4940
- 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
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 | 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| DD4940 | NM | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nazario N. Young-Trujillo, DDS, Inc | General Practice | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- General Practice Dentistry
- Albuquerque, NM
- NPI 1457521957
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.