Active NPI
Segene Ki Young Hahn
- General Practice Dentistry
- Grand Rapids, MI
National Provider Identifier
1861526287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2901017554
- Practice address
- 6735 Cascade Rd SE
Suite #400
Grand Rapids, MI 49546-6887 - Phone
- (616) 262-4611
- Fax
- (616) 975-1545
- NPI assigned
- Mar 15, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 2901017554 | MI | Primary |
Addresses
Primary practice location
6735 Cascade Rd SE
Suite #400
Grand Rapids, MI 49546-6887
Mailing address
6735 Cascade Rd SE
Suite #400
Grand Rapids, MI 49546-6887
Phone (616) 262-4611
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427885 | Other | MI | EMPLOYER MESC # |
| 2901017554 | Other | MI | MICHIGAN DENTAL LICENSE # |
| B4064E | Other | MI | CORP. DIVISION ID # |
| 0001950001 | Other | MI | UNEMPLOYMT AGENCY # |
Other names 1
- Dr. Gene K Hahn
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 |
|---|---|---|---|
| 2901017554 | MI | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1861526287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6735 CASCADE RD SE",
"address_2": "SUITE #400",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495466887",
"telephone_number": "616-262-4611",
"fax_number": "616-975-1545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6735 CASCADE RD SE",
"address_2": "SUITE #400",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495466887",
"telephone_number": "616-262-4611",
"fax_number": "616-975-1545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAHN",
"first_name": "SEGENE",
"middle_name": "KI YOUNG",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-15",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MI",
"license": "2901017554",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPLOYER MESC #",
"identifier": "1427885",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MICHIGAN DENTAL LICENSE #",
"identifier": "2901017554",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CORP. DIVISION ID #",
"identifier": "B4064E",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNEMPLOYMT AGENCY #",
"identifier": "0001950001",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "GENE",
"last_name": "HAHN",
"middle_name": "K",
"prefix": "DR.",
"credential": "D.D.S.",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.