Individual provider Active NPI

Hakan Omer Koymen, DDS, MS

  • Pediatric Dentistry
  • Perry Hall, MD
National Provider Identifier
1467515049
Registry record updated Oct 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
12770 Issued in MD
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, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
026120300MedicaidMD

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

LicenseStateTypeSpecialty
7623NCMDMental Health Counselor
12770MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew 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 PastSince Jun 8, 2025 Accepting new patients
CPDG-Am Pediatric Dentistry Past Accepting new patients
CPDG-DD, LLC Pediatric Dentistry PastSince Nov 16, 2021 Accepting new patients

Locations

5009 Honeygo Center Dr
Ste 228
Perry Hall, MD 21128
Phone (410) 248-3384

Interoperability endpoints

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.