Individual provider Active NPI

Young Han, DMD, MSD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Kalispell, MT
National Provider Identifier
1770851537
Registry record updated Feb 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
2342 Issued in MT
Practice address
1256 N Meridian Rd Ste a
Kalispell, MT 59901-3006
Phone
(406) 752-1131
NPI assigned
Dec 8, 2011
Last updated
Feb 28, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 2342 MT Primary

Addresses

Primary practice location

1256 N Meridian Rd Ste a
Kalispell, MT 59901-3006

Mailing address

1860 US Highway 93 N
Kalispell, MT 59901-2627
Phone (406) 752-1131

Other practice location 1

6348 US Highway 93 S
Whitefish, MT 59937-8235
Phone (406) 752-1131

Other practice location 2

102 1st Ave E
Polson, MT 59860-2335
Phone (406) 752-1131

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

LicenseStateTypeSpecialty
2342MTMDMedical Laboratory Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Mt SDS III, PLLC Orthodontics and Dentofacial Orthopedics CurrentSince Jan 28, 2024 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": "1323302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646006400000",
    "number": "1770851537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 US HIGHWAY 93 N",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599012627",
            "telephone_number": "406-752-1131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1256 N MERIDIAN RD STE A",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013006",
            "telephone_number": "406-752-1131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6348 US Highway 93 S",
            "address_purpose": "LOCATION",
            "city": "Whitefish",
            "state": "MT",
            "postal_code": "599378235",
            "country_code": "US",
            "telephone_number": "406-752-1131",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "102 1st Ave E",
            "address_purpose": "LOCATION",
            "city": "Polson",
            "state": "MT",
            "postal_code": "598602335",
            "country_code": "US",
            "telephone_number": "406-752-1131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAN",
        "first_name": "YOUNG",
        "name_prefix": "Dr.",
        "credential": "DMD, MSD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-08",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MT",
            "license": "2342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalispell, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; 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.