Jae Lyung Hur, D.M.D

Primary specialty

DentistTaxonomy code 122300000X

License

DE60058466 Issued in WA

Practice address

7632 S 126TH St.
Seattle, WA 98178

Phone

(206) 772-5673

Fax

(206) 772-5674

NPI assigned

Sep 28, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• JJ Dental LLC

  dba Access Dental

  • General Practice Dentistry
  • Olympia, WA
  • NPI 1003331331
  NPD (past)
• Yes Washington, PLLC

  dba Skyway Dental

  • General Practice Dentistry
  • Seattle, WA
  • NPI 1962607762
  NPD (past)

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

{
    "created_epoch": "1254096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318636800000",
    "number": "1740514439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7632 S 126TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981784835",
            "telephone_number": "206-772-5673",
            "fax_number": "206-772-5674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7632 S 126TH ST.",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98178",
            "telephone_number": "206-772-5673",
            "fax_number": "206-772-5674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUR",
        "first_name": "JAE LYUNG",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-28",
        "last_updated": "2011-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60058466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Agnes Ildiko Hunyady, MD
• April Hunziker, M.D.
• Jeffrey Jay Huot
• Lawrence Z Huppin, D.P.M.
• Nabiha Paula Huq Saifee, M.D., PH.D.
• Caroline Jeanette Hurd, MD
• Peggy Lorraine Hurd
• Allison Logue Hurley
• Caitlin Hurley, RN
• Jack Edward Hurley

• Dentist in Seattle, WA
• Providers in Seattle, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.