Inkyu Han, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN1859141 Issued in MA

Practice address

366 Salem St
Medford, MA 02155-3307

Phone

(781) 395-0300

NPI assigned

Jun 15, 2021

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Inkyu Han, DMD, PLLC

  • Dental Clinic/Center
  • Boston, MA
  • NPI 1578241352
  NPD Authorized official
• Dentists of Hanover, PC

  dba Dentists of Hanover

  • Dentist
  • Hanover, MA
  • NPI 1952897589
  NPD (past)
• First Dental, PC

  • Dental Clinic/Center
  • Medford, MA
  • NPI 1801074000
  NPD (past)

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

{
    "created_epoch": "1623715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680566400000",
    "number": "1487222550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1480 TREMONT ST APT E209",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021202951",
            "telephone_number": "608-695-3785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "366 SALEM ST",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021553307",
            "telephone_number": "781-395-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAN",
        "first_name": "INKYU",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-15",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1859141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hallmark Health System Inc
• Annemarie Halpin, COTA
• Issa Hamad
• Linda Hamilton, LICSW, PHD
• Tara J Hamilton, M.D.
• Jessica Ann Hand
• Sherman Hanke, LMT
• Albert A Hanlon, PA
• Denise Hansen
• Patricia Maclone Hansen, RN

• General Practice Dentistry in Medford, MA
• Providers in Medford, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; 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.