Sean Brian Ham, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

10567 Issued in AZ

Practice address

9750 N Oracle Rd Apt 17105
Oro Valley, AZ 85704-7689

Phone

(520) 404-9425

NPI assigned

Aug 11, 2016

Last updated

Nov 20, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Canada Hills PLLC

  dba Canada Hills Dental

  • General Practice Dentistry
  • Oro Valley, AZ
  • NPI 1750239786
  NPD Authorized official
• Ham & Lacy Dental Group, LLC

  • Dental Clinic/Center
  • Oro Valley, AZ
  • NPI 1336738319
  NPD Authorized official

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

{
    "created_epoch": "1470873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605830400000",
    "number": "1659825255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9750 N ORACLE RD APT 17105",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857047689",
            "telephone_number": "520-404-9425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9750 N ORACLE RD APT 17105",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857047689",
            "telephone_number": "520-404-9425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAM",
        "first_name": "SEAN",
        "middle_name": "BRIAN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-11",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "DDS100574",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "10567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ DENTAL LICENSE",
            "identifier": "10567",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dennis Gyllenhaal, PT
• Joyce A Hagin, D.M.D.
• Halgan Group LLC
• Ann Elizabeth Hall, LPC
• Ham & Lacy Dental Group, LLC
• Rose Marie Hamway, PH.D.
• Amarissa Handy, RD
• Hanger Prosthetics & Orthotics West Inc (Hanger Clinic)
• Deborah Hanks, FNP
• Kaitlyn L Hanley, DPT

• Dentist in Oro Valley, AZ
• Providers in Oro Valley, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2020; 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.