Active NPI
James Kyusik Hwang, D.M.D.
- Dentist
- Saint Charles, MO
National Provider Identifier
1306025473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2007020761
- Practice address
- 1811 Zumbehl Rd
Saint Charles, MO 63303-2728 - Phone
- (636) 947-1800
- Fax
- (636) 916-0114
- NPI assigned
- Oct 25, 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 | 2007020761 | MO | Primary |
Addresses
Primary practice location
1811 Zumbehl Rd
Saint Charles, MO 63303-2728
Mailing address
1811 Zumbehl Rd
Saint Charles, MO 63303-2728
Phone (636) 947-1800
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2007020761 | MO | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219449600000",
"number": "1306025473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1811 ZUMBEHL RD",
"city": "SAINT CHARLES",
"state": "MO",
"postal_code": "633032728",
"telephone_number": "636-947-1800",
"fax_number": "636-916-0114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1811 ZUMBEHL RD",
"city": "SAINT CHARLES",
"state": "MO",
"postal_code": "633032728",
"telephone_number": "636-947-1800",
"fax_number": "636-916-0114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HWANG",
"first_name": "JAMES",
"middle_name": "KYUSIK",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-25",
"last_updated": "2008-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MO",
"license": "2007020761",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Charles, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.