Active NPI
Hankyull O, DMD
- General Practice Dentistry
- Charlotte, NC
National Provider Identifier
1851774640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 10127
- Practice address
- 8220 University Exec Park Dr Ste 111
Charlotte, NC 28262-3380 - Phone
- (704) 548-8563
- NPI assigned
- Jun 30, 2015
- Sex
- Male
- 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 | 10127 | NC | Primary |
Addresses
Primary practice location
8220 University Exec Park Dr Ste 111
Charlotte, NC 28262-3380
Mailing address
8220 University Exec Park Dr Ste 111
Charlotte, NC 28262-3380
Phone (704) 548-8563
Other practice location 1
8220 University Exec Park Dr Ste 111
Charlotte, NC 28262-3380
Phone (704) 548-8563
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
| License | State | Type | Specialty |
|---|---|---|---|
| 10127 | NC | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525910400000",
"number": "1851774640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8220 UNIVERSITY EXEC PARK DR STE 111",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282623380",
"telephone_number": "704-548-8563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8220 UNIVERSITY EXEC PARK DR STE 111",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282623380",
"telephone_number": "704-548-8563"
}
],
"practiceLocations": [
{
"address_1": "8220 University Exec Park Dr Ste 111",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282623380",
"country_code": "US",
"telephone_number": "704-548-8563",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "O",
"first_name": "HANKYULL",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-30",
"last_updated": "2018-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "10127",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.