Active NPI
Hakan Omer Koymen, DDS, MS
- Pediatric Dentistry
- Perry Hall, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 12770
- Practice address
- 5009 Honeygo Center Dr
Suite 228
Perry Hall, MD 21128-9828 - Phone
- (410) 248-3384
- Fax
- (410) 248-3385
- NPI assigned
- Dec 18, 2006
- Last updated
- Oct 13, 2021
- 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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 12770 | MD | Primary |
Addresses
Primary practice location
5009 Honeygo Center Dr
Suite 228
Perry Hall, MD 21128-9828
Mailing address
5009 Honeygo Center Dr
Suite 228
Perry Hall, MD 21128-9828
Phone (410) 248-3384
Other practice location 1
3400 Box Hill Corporate Center Dr Ste 120
Abingdon, MD 21009-1290
Phone (410) 569-4300
Other practice location 2
7556 Teague Rd Ste 110
Hanover, MD 21076-1969
Phone (410) 799-0780
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 026120300 | Medicaid | MD |
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7623 | NC | MD | Mental Health Counselor |
| 12770 | MD | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chesapeake Pediatric Dental Group Inc | Pediatric Dentistry | Current | Accepting new patients |
| Chesapeake Pediatric Dental Group, Inc | Pediatric Dentistry | Past | Accepting new patients |
| Ryan, James, Wiles, Patel & Olsen LLP | Past | Accepting new patients | |
| Ryan, James, Wiles, Patel & Olsen LLP | Past | Accepting new patients | |
| CPDG-Am | Pediatric Dentistry | Past | Accepting new patients |
| CPDG-DD, LLC | Pediatric Dentistry | Past | Accepting new patients |
Locations
5009 Honeygo Center Dr
Ste 228
Perry Hall, MD 21128
Phone (410) 248-3384
Interoperability endpoints
- hkoymen1399272@direct.hopkinsmedicine.org
Organizations & group practices 7
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.
-
- Pediatric Dentistry
- Perry Hall, MD
- NPI 1851520886
-
- Pediatric Dentistry
- Perry Hall, MD
- NPI 1093589350
-
- Pediatric Dentistry
- Hanover, MD
- NPI 1891043006
-
- Pediatric Dentistry
- Dundalk, MD
- NPI 1962167510
-
- Pediatric Dentistry
- Abingdon, MD
- NPI 1033657986
-
dba Southeastern Dental Specialists
- Dentist
- Fayetteville, NC
- NPI 1346473279
-
dba Village Family Dental
- Dentist
- Fayetteville, NC
- NPI 1750495693
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634083200000",
"number": "1467515049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5009 HONEYGO CENTER DR",
"address_2": "SUITE 228",
"city": "PERRY HALL",
"state": "MD",
"postal_code": "211289828",
"telephone_number": "410-248-3384",
"fax_number": "410-248-3385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5009 HONEYGO CENTER DR",
"address_2": "SUITE 228",
"city": "PERRY HALL",
"state": "MD",
"postal_code": "211289828",
"telephone_number": "410-248-3384",
"fax_number": "410-248-3385"
}
],
"practiceLocations": [
{
"address_1": "3400 Box Hill Corporate Center Dr Ste 120",
"address_purpose": "LOCATION",
"city": "Abingdon",
"state": "MD",
"postal_code": "210091290",
"country_code": "US",
"telephone_number": "410-569-4300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7556 Teague Rd Ste 110",
"address_purpose": "LOCATION",
"city": "Hanover",
"state": "MD",
"postal_code": "210761969",
"country_code": "US",
"telephone_number": "410-799-0780",
"fax_number": "410-799-0781",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOYMEN",
"first_name": "HAKAN",
"middle_name": "OMER",
"name_prefix": "Dr.",
"credential": "DDS, MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-18",
"last_updated": "2021-10-13",
"certification_date": "2021-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "MD",
"license": "12770",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "026120300",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Perry Hall, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.