Active NPI
Sumin Hahm, DDS
- Periodontics
- Derry, NH
National Provider Identifier
1669147484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- DN1859159
- Practice address
- 19 Manchester Rd Ste D3
Derry, NH 03038-3067 - Phone
- (603) 810-7218
- NPI assigned
- Aug 13, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN1859159 | MA | |
| Periodontics | 1223P0300X | 05112 | NH | |
| Periodontics | 1223P0300X | DN1859159 | MA | Primary |
Addresses
Primary practice location
19 Manchester Rd Ste D3
Derry, NH 03038-3067
Mailing address
25 Executive Dr Unit 318
Stoneham, MA 02180-0041
Other practice location 1
188 Longwood Ave
Boston, MA 02115-5819
Phone (617) 432-1434
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05112 | Other | NH | DENTAL LICENSE |
| DN1859159 | Other | MA | LICENSE |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN1859159 | MA | MD | Dentist |
| 05112 | NH | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729468800000",
"number": "1669147484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 EXECUTIVE DR UNIT 318",
"city": "STONEHAM",
"state": "MA",
"postal_code": "021800041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 MANCHESTER RD STE D3",
"city": "DERRY",
"state": "NH",
"postal_code": "030383067",
"telephone_number": "603-810-7218"
}
],
"practiceLocations": [
{
"address_1": "188 Longwood Ave",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021155819",
"country_code": "US",
"telephone_number": "617-432-1434",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAHM",
"first_name": "SUMIN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-08-13",
"last_updated": "2024-10-21",
"certification_date": "2024-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "DN1859159",
"primary": false
},
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "NH",
"license": "05112",
"primary": false
},
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "MA",
"license": "DN1859159",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTAL LICENSE",
"identifier": "05112",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "DN1859159",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Derry, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.