NPIMap

Organization Active NPI

Byronn G Hahn DMD PC

  • General Practice Dentistry
  • Henderson, NV
National Provider Identifier
1821115338
Registry record updated Aug 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5105 Issued in NV
Legal business name
BYRONN G HAHN DMD PC
Practice address
1000 Wigwam Pkwy Ste 120
Henderson, NV 89074-8164
Phone
(702) 777-4700
Fax
(702) 777-0700
NPI assigned
Mar 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2018

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

Authorized official

Name
Byronn Gene Hahn, DMDNPI 1336244979
Title
Owner
Phone
(702) 777-4700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 5105 NV Primary

Addresses

Primary practice location

1000 Wigwam Pkwy Ste 120
Henderson, NV 89074-8164

Mailing address

1000 Wigwam Pkwy Ste 120
Henderson, NV 89074-8164
Phone (702) 777-4700

Other practice location 1

66 N Pelos Rd Suite A
Henderson, NV 89074
Phone (702) 777-4700

Other names 1

  • Southridge Dental Doing business as

National Provider Directory

National Provider Directory

Locations

66 N Pecos Rd
Ste A
Henderson, NV 89074
Phone (702) 564-3532

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533600000000",
    "number": "1821115338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 WIGWAM PKWY STE 120",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890748164",
            "telephone_number": "702-777-4700",
            "fax_number": "702-777-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 WIGWAM PKWY STE 120",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890748164",
            "telephone_number": "702-777-4700",
            "fax_number": "702-777-0700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "66 N Pelos Rd Suite A",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "89074",
            "country_code": "US",
            "telephone_number": "702-777-4700",
            "fax_number": "702-777-0700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BYRONN G HAHN DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2018-08-07",
        "status": "A",
        "authorized_official_last_name": "HAHN",
        "authorized_official_first_name": "BYRONN",
        "authorized_official_middle_name": "GENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-777-4700",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "5105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southridge Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Southridge Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2018; 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.