NPIMap

Organization Active NPI

Southwest Endodontics & Periodontics

  • Endodontics
  • Broadview Heights, OH
National Provider Identifier
1437180247
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
SOUTHWEST ENDODONTICS & PERIODONTICS
Practice address
1000 W Wallings Rd
Suite B Southwest Endo & Perio Inc
Broadview Heights, OH 44147
Phone
(440) 546-1116
NPI assigned
Jul 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Joong H Hahn, DDS MSDNPI 1780729061
Title
Owner
Phone
(440) 546-1116

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223E0200X Primary

Addresses

Primary practice location

1000 W Wallings Rd
Suite B Southwest Endo & Perio Inc
Broadview Heights, OH 44147

Mailing address

1000 W Wallings Rd
Suite B Southwest Endo & Perio Inc
Broadview Heights, OH 44147
Phone (440) 546-1116

National Provider Directory

National Provider Directory

Locations

1000 W Wallings Rd
Ste B
Broadview Heights, OH 44147
Phone (440) 546-1116

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437180247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W WALLINGS RD",
            "address_2": "SUITE B SOUTHWEST ENDO & PERIO INC",
            "city": "BROADVIEW HEIGHTS",
            "state": "OH",
            "postal_code": "44147",
            "telephone_number": "440-546-1116",
            "fax_number": "440-546-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W WALLINGS RD",
            "address_2": "SUITE B SOUTHWEST ENDO & PERIO INC",
            "city": "BROADVIEW HEIGHTS",
            "state": "OH",
            "postal_code": "44147",
            "telephone_number": "440-546-1116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST ENDODONTICS & PERIODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAHN",
        "authorized_official_first_name": "JOONG",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-546-1116",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MSD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broadview Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.