Kwang Jin Hahn DDS, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

KWANG JIN HAHN DDS, PLLC

Practice address

13624 Highway 99 Ste D11
Lynnwood, WA 98087-1660

Phone

(206) 512-5105

NPI assigned

Oct 3, 2019

Organization subpart

No

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

Authorized official

Name

Kwang Jin Hahn, DDS

Title

Owner

Phone

(206) 512-5105

Specialties & licenses 1

Addresses

Other names 1

• Hahn Dental Doing business as

Locations

Practitioners 1

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

• Kwang Jin Hahn, D.D.S.

  • Dentist
  • Bellevue, WA
  • NPI 1235644899
  NPD (past)

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

{
    "created_epoch": "1570060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570060800000",
    "number": "1528609294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13624 HIGHWAY 99 STE D11",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980871660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13624 HIGHWAY 99 STE D11",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980871660",
            "telephone_number": "206-512-5105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KWANG JIN HAHN DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-03",
        "last_updated": "2019-10-03",
        "status": "A",
        "authorized_official_last_name": "HAHN",
        "authorized_official_first_name": "KWANG",
        "authorized_official_middle_name": "JIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-512-5105",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hahn Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Geethanjali Kuppusamy
• Nataliya M Kurkov, LMP
• Jerold R Kutzke, PTA
• Kimberly Eileen Kuzara, LMP
• Eddie P Kwan, OD
• Jennifer Kwok, O.D.
• Kyle Tanaka DDS PLLC
• La Esperanza Health Counseling Services
• Laboratory Corporation of America
• Laboratory Corporation of America

• Dental Clinic/Center in Lynnwood, WA
• Providers in Lynnwood, WA by specialty
• Dental Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2019; 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.