Active NPI
Hyunduck Nah, D.M.D.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Exton, PA
National Provider Identifier
1306020201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- DS030469L
- Practice address
- 609 Gordon Dr
Exton, PA 19341-1285 - Phone
- (610) 524-7202
- Fax
- (610) 524-9709
- NPI assigned
- Dec 27, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DS030469L | PA | Primary |
Addresses
Primary practice location
609 Gordon Dr
Exton, PA 19341-1285
Mailing address
609 Gordon Dr
Exton, PA 19341-1285
Phone (610) 524-7202
Other names 1
- Hyun-Duck Nah-Cederquist
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dentist
- Education
- Univ of Pennsylvania School of Dental Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3401 Civic Ctr Blvd
Philadelphia, PA 19104-4319
Phone (267) 425-9505
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Surgical Associates LTD | Current | Accepting new patients | |
| Children'S Surgical Associates LTD | Past | Accepting new patients | |
| Chester Springs Orthodontics, PC | Orthodontics and Dentofacial Orthopedics | Past | Accepting new patients |
| Children'S Surgical Associates LTD | Orthodontics and Dentofacial Orthopedics | Past | Accepting new patients |
Locations
3401 Civic Center Blvd
Ste 34
Philadelphia, PA 19104
3401 Civic Center Blvd
Philadelphia, PA 19104
Phone (215) 590-4040
Organizations & group practices 5
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.
-
- Plastic Surgery Physician
- Philadelphia, PA
- NPI 1326117185
-
- Neurological Surgery Physician
- Philadelphia, PA
- NPI 1821177395
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Exton, PA
- NPI 1437709953
-
- Urology Physician
- Philadelphia, PA
- NPI 1003985854
-
- Pediatric Surgery Physician
- Philadelphia, PA
- NPI 1760562581
Orthodontics and Dentofacial Orthopedics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616976000000",
"number": "1306020201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "609 GORDON DR",
"city": "EXTON",
"state": "PA",
"postal_code": "193411285",
"telephone_number": "610-524-7202",
"fax_number": "610-524-0709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "609 GORDON DR",
"city": "EXTON",
"state": "PA",
"postal_code": "193411285",
"telephone_number": "610-524-7202",
"fax_number": "610-524-9709"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAH",
"first_name": "HYUNDUCK",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-27",
"last_updated": "2021-03-29",
"certification_date": "2021-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "PA",
"license": "DS030469L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HYUN-DUCK",
"last_name": "NAH-CEDERQUIST",
"credential": "DMD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Exton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.