Individual provider Active NPI

Hyunduck Nah, D.M.D.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Exton, PA
National Provider Identifier
1306020201
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DS030469L Issued in PA
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

Updated by the provider on Mar 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Professional name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200923002149 PA Practitioner - Dentist 6002235157 Reassigns benefits to 1 organization

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
Children'S Surgical Associates LTDGroup PAC ID 9739083494, 53 clinicians

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

OrganizationSpecialtyStatusNew patients
Children'S Surgical Associates LTD CurrentSince Oct 20, 2022 Accepting new patients
Children'S Surgical Associates LTD Past Accepting new patients
Chester Springs Orthodontics, PC Orthodontics and Dentofacial Orthopedics PastSince Sep 25, 2019 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.

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

Verify at the official NPI Registry.