Edward Sungwon Nam, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS039563 Issued in PA

Practice address

351 Loucks Rd Ste E4
York, PA 17404-1740

Phone

(717) 848-3600

NPI assigned

Jun 26, 2013

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Edward Nam Dental Corporation

  • Dental Clinic/Center
  • Santa Maria, CA
  • NPI 1013610732
  NPD Authorized official
• Nam Dental Corporation

  • Dental Clinic/Center
  • Los Angeles, CA
  • NPI 1417584186
  NPD Authorized official

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

{
    "created_epoch": "1372204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372204800000",
    "number": "1285074096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 SE PEACOCK LN",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972143236",
            "telephone_number": "213-604-2816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 LOUCKS RD STE E4",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174041740",
            "telephone_number": "717-848-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAM",
        "first_name": "EDWARD",
        "middle_name": "SUNGWON",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-26",
        "last_updated": "2013-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS039563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalia Nacu, MD
• Daniel Paul Nadeau, MD
• Nancy Dia Nagib, M.D.
• Fnu Naintara
• Anil Kumar Nalla, MD
• Lisa Namath, P.T.
• Lindsay C Nanz, MA
• Robert Frank Nash, DO
• Danielle Natale, O.D.
• Nathan L. Shpritz, DDS, LLC

• General Practice Dentistry in York, PA
• Providers in York, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2013; 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.