Byronn Gene Hahn, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5105 Issued in NV

Practice address

1000 Wigwam Pkwy Ste 120
Henderson, NV 89074

Phone

(702) 777-4700

Fax

(702) 777-0700

NPI assigned

Sep 14, 2006

Last updated

Jul 18, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in NV

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Byronn G Hahn DMD PC

  dba Southridge Dental

  • General Practice Dentistry
  • Henderson, NV
  • NPI 1821115338
  NPD (past) Authorized official
• Martinez Edwards DDS PC

  • Dental Clinic/Center
  • Henderson, NV
  • NPI 1225971500
  NPD (past)

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531872000000",
    "number": "1336244979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 WIGWAM PKWY STE 120",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890748164",
            "telephone_number": "702-777-4700",
            "fax_number": "702-777-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 WIGWAM PKWY STE 120",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "89074",
            "telephone_number": "702-777-4700",
            "fax_number": "702-777-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAHN",
        "first_name": "BYRONN",
        "middle_name": "GENE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2018-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "5105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nadine Haddad
• Curtis Haddrill
• Hadiza E Hamza MD a Professional Corporation
• Debra Hagel-Wollman, PT
• Angela Hahn, O.D
• Christian Taylor Hahn
• Garlin G. Hahn, D.D.S., DDS
• Stephen Paul Hahn, D.D.S.
• Sterling Hahn, DO
• Courtney Haight, PH.D.

• General Practice Dentistry in Henderson, NV
• Providers in Henderson, NV by specialty
• General Practice Dentistry in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.