Individual provider Active NPI

Han NA Kim, DDS

  • General Practice Dentistry
  • San Francisco, CA
National Provider Identifier
1790412757
Registry record updated Aug 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
107695 Issued in CA
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

Updated by the provider on Aug 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

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

OrganizationSpecialtyStatusNew patients
Wenli Loo DDS Inc General Practice CurrentSince Aug 7, 2022 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.

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.

Verify at the official NPI Registry.