Hannah Song and Helen DO Dental Corporation

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

58464 Issued in CA

Legal business name

HANNAH SONG AND HELEN DO DENTAL CORPORATION

Doing business as

My Home Dental Group - Buena Park Pediatric Dentistry

Practice address

5661 Beach Blvd Ste 100
Buena Park, CA 90621-1969

Phone

(714) 994-2121

NPI assigned

Jan 17, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Hannah Jiyoung Song, DDSNPI 1447588298

Title

Pediatric Dentist/ C.F.O.

Phone

(714) 994-2121

Specialties & licenses 1

Addresses

Other names 1

• My Home Dental Group - Buena Park Pediatric Dentistry 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.

• Hannah Jiyoung Song, D.D.S.

  • Pediatric Dentistry
  • Buena Park, CA
  • NPI 1447588298
  NPD (past) Authorized official

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

{
    "created_epoch": "1358380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358380800000",
    "number": "1619215175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5661 BEACH BLVD STE 100",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906211969",
            "telephone_number": "714-994-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5661 BEACH BLVD STE 100",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906211969",
            "telephone_number": "714-994-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANNAH SONG AND HELEN DO DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-17",
        "last_updated": "2013-01-17",
        "status": "A",
        "authorized_official_last_name": "SONG",
        "authorized_official_first_name": "HANNAH",
        "authorized_official_middle_name": "JIYOUNG",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST/ C.F.O.",
        "authorized_official_telephone_number": "714-994-2121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "58464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My Home Dental Group - Buena Park Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pill Han
• Richard Han, M.D.
• Soo Hee Han, L.AC
• Hana Medical Group, Inc.
• Sandy Hanna
• Happy Haven
• Harvest Retirement Corporation
• Lani Hatch, MA, CCC-SLP
• Cherie Frances Hayes
• HCRG Healthcare Resource Group

• Pediatric Dentistry in Buena Park, CA
• Providers in Buena Park, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2013; 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.