Active NPI
Han NA Kim, DDS
- General Practice Dentistry
- San Francisco, CA
National Provider Identifier
1790412757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 107695
- Practice address
- 450 Sutter St RM 2640
San Francisco, CA 94108-4211 - Phone
- (415) 477-3700
- NPI assigned
- Aug 1, 2022
- Sex
- Female
- 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 | 107695 | CA | Primary |
Addresses
Primary practice location
450 Sutter St RM 2640
San Francisco, CA 94108-4211
Mailing address
1231 22ND Ave
San Francisco, CA 94122-1601
Phone (408) 315-6064
Other practice location 1
90 Post St # 1540
San Francisco, CA 94104-4502
Phone (415) 421-6766
Other names 1
- Hanna Kim
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wenli Loo DDS Inc | General Practice | Current | Accepting new patients |
Locations
450 Sutter St
Rm 2640
San Francisco, CA 94108
Phone (415) 477-3700
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 and National Provider Directory roles.
-
- General Practice Dentistry
- San Francisco, CA
- NPI 1497334395
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659312000000",
"number": "1790412757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1231 22ND AVE",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941221601",
"telephone_number": "408-315-6064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 SUTTER ST RM 2640",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941084211",
"telephone_number": "415-477-3700"
}
],
"practiceLocations": [
{
"address_1": "90 Post St # 1540",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941044502",
"country_code": "US",
"telephone_number": "415-421-6766",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIM",
"first_name": "HAN",
"middle_name": "NA",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-01",
"last_updated": "2022-08-01",
"certification_date": "2022-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "107695",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HANNA",
"last_name": "KIM",
"credential": "DDS",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.