Active NPI
Chungyoon Ha, DDS
- General Practice Dentistry
- Buffalo Grove, IL
National Provider Identifier
1720076961
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 019-025426
- Practice address
- 117 N Arlington Heights Rd
Buffalo Grove, IL 60089 - Phone
- (847) 537-2228
- NPI assigned
- Oct 12, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 019-025426 | IL | Primary |
Addresses
Primary practice location
117 N Arlington Heights Rd
Buffalo Grove, IL 60089
Mailing address
117 N. Arlington HTS Rd
Buffalo Grove, IL 60089
Phone (847) 537-2228
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 |
|---|---|---|---|
| 019-025426 | IL | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456272000000",
"number": "1720076961",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 N. ARLINGTON HTS RD",
"city": "BUFFALO GROVE",
"state": "IL",
"postal_code": "60089",
"telephone_number": "847-537-2228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 N ARLINGTON HEIGHTS RD",
"city": "BUFFALO GROVE",
"state": "IL",
"postal_code": "60089",
"telephone_number": "847-537-2228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HA",
"first_name": "CHUNGYOON",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-12",
"last_updated": "2016-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IL",
"license": "019-025426",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Buffalo Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.