Active NPI
Kevin Hyun
- General Practice Dentistry
- Greenville, SC
National Provider Identifier
1720765910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 10880
- Practice address
- 1118 Woodruff Rd Ste C
Greenville, SC 29607-4134 - Phone
- (864) 252-3930
- NPI assigned
- Jun 29, 2023
- Last updated
- Jul 9, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 10880 | SC | Primary |
Addresses
Primary practice location
1118 Woodruff Rd Ste C
Greenville, SC 29607-4134
Mailing address
104 Wardlaw St Apt 522
Greenville, SC 29601-3281
Phone (201) 398-3345
Other practice location 1
345 E 24th St
New York, NY 10010-4020
Phone (212) 998-9800
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 |
|---|---|---|---|
| 10880 | SC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SC Smiles, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720483200000",
"number": "1720765910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 WARDLAW ST APT 522",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296013281",
"telephone_number": "201-398-3345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1118 WOODRUFF RD STE C",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296074134",
"telephone_number": "864-252-3930"
}
],
"practiceLocations": [
{
"address_1": "345 E 24th St",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100104020",
"country_code": "US",
"telephone_number": "212-998-9800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HYUN",
"first_name": "KEVIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-06-29",
"last_updated": "2024-07-09",
"certification_date": "2024-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "SC",
"license": "10880",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.