Organization Active NPI

Randall K Hahn DDS

  • Dentist
  • Viborg, SD
National Provider Identifier
1275928137
Registry record updated Mar 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
M413 Issued in SD
Legal business name
RANDALL K HAHN DDS
Practice address
103 W Pioneer
Viborg, SD 57070
Phone
(605) 326-5612
NPI assigned
Mar 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2015

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

Authorized official

Name
Randall Hahn, DDS
Title
Dentist/Owner
Phone
(605) 326-5612

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X M413 SD Primary

Addresses

Primary practice location

103 W Pioneer
Viborg, SD 57070

Mailing address

PO Box 156
Viborg, SD 57070-0156
Phone (605) 326-5612

Other names 1

  • Viborg Dental Clinic Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1427673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427673600000",
    "number": "1275928137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 156",
            "city": "VIBORG",
            "state": "SD",
            "postal_code": "570700156",
            "telephone_number": "605-326-5612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 W PIONEER",
            "city": "VIBORG",
            "state": "SD",
            "postal_code": "57070",
            "telephone_number": "605-326-5612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDALL K HAHN DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-30",
        "last_updated": "2015-03-30",
        "status": "A",
        "authorized_official_last_name": "HAHN",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "605-326-5612",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "SD",
            "license": "M413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Viborg Dental Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Viborg, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2015; 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.